Lorese Gerlone Gomes Vandemark
ActiveCalifornia license 43568
License
- Licensed by
- Dental Board of California
- License number
- 43568
- Status
- Active (Current)
- First issued
- August 14, 1996
- Expires
- August 31, 2028
- License holder
- Lorese Gerlone Gomes Vandemark
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3340 Tully Rd Ste D-6
Modesto, CA 95350
Modesto, CA 95350
Stanislaus County