Dwayne Kim Martin
ExpiredCalifornia license 25171
License
- Licensed by
- Dental Board of California
- License number
- 25171
- Status
- Expired (Delinquent)
- First issued
- July 14, 1975
- Expired
- August 31, 2022
- License holder
- Dwayne Kim Martin
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1855 San Miguel Drive Ste 21
Walnut Creek, CA 94596
Walnut Creek, CA 94596
Contra Costa County