Lawrence Burnett Blackmon
ActiveCalifornia license 38041
License
- Licensed by
- Dental Board of California
- License number
- 38041
- Status
- Active (Current)
- First issued
- April 27, 1990
- Expires
- December 31, 2027
- License holder
- Lawrence Burnett Blackmon
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
Park West Center
12818 Heacock St, Ste C-3
Moreno Valley, CA 92553
12818 Heacock St, Ste C-3
Moreno Valley, CA 92553
Riverside County