Miriam Bautista Buenaventura
ActiveCalifornia license 46030
License
- Licensed by
- Dental Board of California
- License number
- 46030
- Status
- Active (Current)
- First issued
- May 13, 1999
- Expires
- February 29, 2028
- License holder
- Miriam Bautista Buenaventura
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5031 Eagle Rock Blvd
Los Angeles, CA 90041
Los Angeles, CA 90041
Los Angeles County