Richard James Blackburn
ActiveCalifornia license 104972
License
- Licensed by
- Dental Board of California
- License number
- 104972
- Status
- Active (Current)
- First issued
- July 1, 2020
- Expires
- December 31, 2027
- License holder
- Richard James Blackburn
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
25 Bolero
Mission Viejo, CA 92692-5160
Mission Viejo, CA 92692-5160
Orange County