Genesis Profeta Antonio
ActiveCalifornia license 48076
License
- Licensed by
- Dental Board of California
- License number
- 48076
- Status
- Active (Current)
- First issued
- November 2, 2000
- Expires
- March 31, 2028
- License holder
- Genesis Profeta Antonio
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
650 Empire St
Ste B
Fairfield, CA 94533-5536
Ste B
Fairfield, CA 94533-5536
Solano County