Blake Clete Keen
ActiveCalifornia license 111167
License
- Licensed by
- Dental Board of California
- License number
- 111167
- Status
- Active (Current)
- First issued
- January 8, 2025
- Expires
- January 31, 2027
- License holder
- Blake Clete Keen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5029 Lomas Ct
Rancho Cucamonga, CA 91737-1542
Rancho Cucamonga, CA 91737-1542
San Bernardino County