Maria Angelica Fonseca Ricaurte
ActiveCalifornia license 104383
License
- Licensed by
- Dental Board of California
- License number
- 104383
- Status
- Active (Current)
- First issued
- August 28, 2019
- Expires
- September 30, 2028
- License holder
- Maria Angelica Fonseca Ricaurte
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1820 Gateway Dr
150
San Mateo, CA 94404-4022
150
San Mateo, CA 94404-4022
San Mateo County