Tim Diato Encarnacion
ActiveCalifornia license 53594
License
- Licensed by
- Dental Board of California
- License number
- 53594
- Status
- Active (Current)
- First issued
- June 21, 2005
- Expires
- September 30, 2028
- License holder
- Tim Diato Encarnacion
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1782 East Main Street
El Cajon, CA 92021
El Cajon, CA 92021
San Diego County