Gene Lee Park
ActiveCalifornia license 108692
License
- Licensed by
- Dental Board of California
- License number
- 108692
- Status
- Active (Current)
- First issued
- April 3, 2023
- Expires
- October 31, 2027
- License holder
- Gene Lee Park
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1641 Via Sevilla St
Corona, CA 92881-0778
Corona, CA 92881-0778
Riverside County