Rafael Alberto Antillon
ActiveCalifornia license 39747
License
- Licensed by
- Dental Board of California
- License number
- 39747
- Status
- Active (Current)
- First issued
- November 8, 1991
- Expires
- November 30, 2027
- License holder
- Rafael Alberto Antillon
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3621 M.L.K.Jr. Blvd. #11
Lynwood, CA 90262
Lynwood, CA 90262
Los Angeles County