Timothy Edward Mickiewicz
ActiveCalifornia license 30810
License
- Licensed by
- Dental Board of California
- License number
- 30810
- Status
- Active (Current)
- First issued
- July 1, 1982
- Expires
- April 30, 2027
- License holder
- Timothy Edward Mickiewicz
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
930 Alhambra Blvd
Suite 110
Sacramento, CA 95816-4426
Suite 110
Sacramento, CA 95816-4426
Sacramento County