Jesse Matthew Wagner
ActiveCalifornia license 105627
License
- Licensed by
- Dental Board of California
- License number
- 105627
- Status
- Active (Current)
- First issued
- October 2, 2020
- Expires
- July 31, 2028
- License holder
- Jesse Matthew Wagner
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
468 Rosecrans Ave
Apt 1
Manhattan Beach, CA 90266-3468
Apt 1
Manhattan Beach, CA 90266-3468
Los Angeles County