Fernando De La Pena
ActiveCalifornia license 43934
License
- Licensed by
- Dental Board of California
- License number
- 43934
- Status
- Active (Current)
- First issued
- October 24, 1996
- Expires
- December 31, 2027
- License holder
- Fernando De La Pena
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2701 Beverly Blvd
Los Angeles, CA 90057
Los Angeles, CA 90057
Los Angeles County