Alan Richard Latta
ActiveCalifornia license 43455
License
- Licensed by
- Dental Board of California
- License number
- 43455
- Status
- Active (Current)
- First issued
- August 6, 1996
- Expires
- November 30, 2027
- License holder
- Alan Richard Latta
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1250 Peach St Ste L
San Luis Obispo, CA 93401
San Luis Obispo, CA 93401
San Luis Obispo County