Grant Russell Rutherford
ActiveCalifornia license 108827
License
- Licensed by
- Dental Board of California
- License number
- 108827
- Status
- Active (Current)
- First issued
- May 30, 2023
- Expires
- May 31, 2028
- License holder
- Grant Russell Rutherford
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1221 Moana Drive
San Diego, CA 92107
San Diego, CA 92107
San Diego County