Andrew Blake Nickel
ExpiredCalifornia license 103534
License
- Licensed by
- Dental Board of California
- License number
- 103534
- Status
- Expired (Delinquent)
- First issued
- February 7, 2019
- Expired
- January 31, 2022
- License holder
- Andrew Blake Nickel
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
17 Beacon Bay
Newport Beach, CA 92660
Newport Beach, CA 92660
Orange County