David T Fosdahl
ExpiredCalifornia license 31783
License
- Licensed by
- Dental Board of California
- License number
- 31783
- Status
- Expired (Delinquent)
- First issued
- July 22, 1983
- Expired
- February 29, 2024
- License holder
- David T Fosdahl
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
20600 Lake Chabot Rd
Ste #101
Castro Valley, CA 94546-5432
Ste #101
Castro Valley, CA 94546-5432
Alameda County