Jeremy Russell Lustig
ActiveCalifornia license 107412
License
- Licensed by
- Dental Board of California
- License number
- 107412
- Status
- Active (Current)
- First issued
- May 3, 2022
- Expires
- October 31, 2028
- License holder
- Jeremy Russell Lustig
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
8505 Freeport Pkwy
Suite 400
Irving, TX 75063-2548
Suite 400
Irving, TX 75063-2548
Tarrant County