Keith Takashi Watanabe
ExpiredCalifornia license 21963
License
- Licensed by
- Dental Board of California
- License number
- 21963
- Status
- Expired (Delinquent)
- First issued
- January 1, 1971
- Expired
- March 31, 2023
- License holder
- Keith Takashi Watanabe
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1752 Skyridge Ct
Newbury Park, CA 91320
Newbury Park, CA 91320
Ventura County