License Directory

Maxwell Theodore Dismuke

Active

California license 112497

License

Licensed by
Dental Board of California
License number
112497
Status
Active (Current)
First issued
November 6, 2025
Expires
May 31, 2028
License holder
Maxwell Theodore Dismuke
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

PO Box 1129
Redway, CA 95560-1129
Humboldt County