Luisa Fernanda Gongora
ActiveCalifornia license 111127
License
- Licensed by
- Dental Board of California
- License number
- 111127
- Status
- Active (Current)
- First issued
- December 20, 2024
- Expires
- November 30, 2028
- License holder
- Luisa Fernanda Gongora
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
833 Jigglypuff PL
Henderson, NV 89011
Henderson, NV 89011
Clark County