Jennifer Y Villalta
ActiveCalifornia license 104258
License
- Licensed by
- Dental Board of California
- License number
- 104258
- Status
- Active (Current)
- First issued
- August 7, 2019
- Expires
- December 31, 2026
- License holder
- Jennifer Y Villalta
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12555 W Jefferson Blvd
Suite 210
Los Angeles, CA 90066-7032
Suite 210
Los Angeles, CA 90066-7032
Los Angeles County