Susan Tunque De Mata
InactiveCalifornia license 56582
License
- Licensed by
- Dental Board of California
- License number
- 56582
- Status
- Inactive (CurrentInactive)
- First issued
- November 6, 2007
- Expires
- May 31, 2027
- License holder
- Susan Tunque De Mata
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
517 S Motif St
Anaheim, CA 92805-4749
Anaheim, CA 92805-4749
Orange County