Ricuccio Antonio Negom
ActiveCalifornia license 55065
License
- Licensed by
- Dental Board of California
- License number
- 55065
- Status
- Active (Current)
- First issued
- September 29, 2006
- Expires
- September 30, 2027
- License holder
- Ricuccio Antonio Negom
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2 James Way
Ste 207
Pismo Beach, CA 93449-4973
Ste 207
Pismo Beach, CA 93449-4973
San Luis Obispo County