Kermit Joseph Mallette
ActiveCalifornia license 58205
License
- Licensed by
- Dental Board of California
- License number
- 58205
- Status
- Active (Current)
- First issued
- April 23, 2009
- Expires
- September 30, 2028
- License holder
- Kermit Joseph Mallette
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5401 W Washington Blvd Apt 207
Los Angeles, CA 90016-1149
Los Angeles, CA 90016-1149
Los Angeles County