Bashar Reyad El Momani
InactiveCalifornia license 104847
License
- Licensed by
- Dental Board of California
- License number
- 104847
- Status
- Inactive (CurrentInactive)
- First issued
- April 1, 2020
- Expires
- May 31, 2028
- License holder
- Bashar Reyad El Momani
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1800 Tully Rd
Ste A2
Modesto, CA 95350
Ste A2
Modesto, CA 95350
Stanislaus County