Irmina Bautista Martinez
InactiveCalifornia license 38085
License
- Licensed by
- Dental Board of California
- License number
- 38085
- Status
- Inactive (CurrentInactive)
- First issued
- April 27, 1990
- Expires
- December 31, 2026
- License holder
- Irmina Bautista Martinez
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
188 Mark Tree Rd
Centereach, NY 11720-2236
Centereach, NY 11720-2236
Suffolk County