License Directory

Marie Prochazkova Mallory

Active

California 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

More from the license record

License type code
4401

Contact

608 Von Reimers Ln
Santa Rosa, CA 95401-5577
Sonoma County