Marie Prochazkova Mallory
ActiveCalifornia license 43815
License
- Licensed by
- Dental Board of California
- License number
- 43815
- Status
- Active (Current)
- First issued
- July 31, 1996
- Expires
- November 30, 2027
- License holder
- Marie Prochazkova Mallory
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
608 Von Reimers Ln
Santa Rosa, CA 95401-5577
Santa Rosa, CA 95401-5577
Sonoma County