Andrea Lisa Fortes
ActiveCalifornia license 53450
License
- Licensed by
- Dental Board of California
- License number
- 53450
- Status
- Active (Current)
- First issued
- March 15, 2005
- Expires
- March 31, 2028
- License holder
- Andrea Lisa Fortes
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1076 E. First Street
Suite E
Tustin, CA 92780
Suite E
Tustin, CA 92780
Orange County