Elleen Myre Zoleta Agustin
ActiveCalifornia license 105628
License
- Licensed by
- Dental Board of California
- License number
- 105628
- Status
- Active (Current)
- First issued
- October 2, 2020
- Expires
- January 31, 2027
- License holder
- Elleen Myre Zoleta Agustin
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
7170 N Muscatel Ave
San Gabriel, CA 91775-1232
San Gabriel, CA 91775-1232
Los Angeles County