License Directory

Lucas Jordan Diciccio

Active

California license 105009

License

Licensed by
Dental Board of California
License number
105009
Status
Active (Current)
First issued
July 12, 2020
Expires
March 31, 2027
License holder
Lucas Jordan Diciccio
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

1520 Jordan Ave
Clovis, CA 93611-6894
Fresno County