Jacob Simon Otis
ActiveCalifornia license 103611
License
- Licensed by
- Dental Board of California
- License number
- 103611
- Status
- Active (Current)
- First issued
- April 1, 2019
- Expires
- July 31, 2027
- License holder
- Jacob Simon Otis
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
644 Balboa Dr
Seal Beach, CA 90740
Seal Beach, CA 90740
Orange County