Raymond Walter Larsen
ActiveCalifornia license 30179
License
- Licensed by
- Dental Board of California
- License number
- 30179
- Status
- Active (Current)
- First issued
- October 7, 1981
- Expires
- May 31, 2028
- License holder
- Raymond Walter Larsen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1004 Fowler Way Ste 8
Placerville, CA 95667-5746
Placerville, CA 95667-5746
El Dorado County