Walter Vladimir Fuentes
ActiveCalifornia license 106796
License
- Licensed by
- Dental Board of California
- License number
- 106796
- Status
- Active (Current)
- First issued
- August 5, 2021
- Expires
- December 31, 2027
- License holder
- Walter Vladimir Fuentes
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1050 Court St
419
San Rafael, CA 94901-2982
419
San Rafael, CA 94901-2982
Marin County