Brian Avery Lilien
InactiveCalifornia license 36790
License
- Licensed by
- Dental Board of California
- License number
- 36790
- Status
- Inactive (CurrentInactive)
- First issued
- July 21, 1988
- Expires
- August 31, 2028
- License holder
- Brian Avery Lilien
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4216 N 44th St
Dental Specialty Associates
Phoenix, AZ 85018
Dental Specialty Associates
Phoenix, AZ 85018
Maricopa County