Brent Thomas Ingram
ActiveCalifornia license 43978
License
- Licensed by
- Dental Board of California
- License number
- 43978
- Status
- Active (Current)
- First issued
- October 21, 1996
- Expires
- July 31, 2028
- License holder
- Brent Thomas Ingram
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5149 Moorpark Ave #101
San Jose, CA 95129
San Jose, CA 95129
Santa Clara County