Bruce Walter Roman
InactiveCalifornia license 23754
License
- Licensed by
- Dental Board of California
- License number
- 23754
- Status
- Inactive (CurrentInactive)
- First issued
- January 1, 1973
- Expires
- July 31, 2028
- License holder
- Bruce Walter Roman
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1720 SW Silverstone Ave
Mountain Home, ID 83647-6462
Mountain Home, ID 83647-6462
Elmore County