Miriam Vita Van Allen
ActiveCalifornia license 53958
License
- Licensed by
- Dental Board of California
- License number
- 53958
- Status
- Active (Current)
- First issued
- July 28, 2005
- Expires
- August 31, 2028
- License holder
- Miriam Vita Van Allen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
10921 Wilshire Blvd
Suite 1003
Los Angeles, CA 90024-3906
Suite 1003
Los Angeles, CA 90024-3906
Los Angeles County