Dominique J Medina

License

Licensed by

Dental Board of California

License number

107247

Status

Active (Current)

First issued

January 11, 2022

Expires

January 31, 2028

License holder

Dominique J Medina

Entity type

Individual

Classifications

• Dental License Dental

More from the license record

License type code

4401

Other California licenses under this name

• CA
  Dominique J Medina

  License 2216

  General Anesthesia Permit
  Active

  Los Angeles, CA

  Expires Jan 31, 2028

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