Brent Michael Hiebert
ActiveCalifornia license 59374
License
- Licensed by
- Dental Board of California
- License number
- 59374
- Status
- Active (Current)
- First issued
- June 16, 2010
- Expires
- January 31, 2028
- License holder
- Brent Michael Hiebert
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2681 Emily Ave NW
Salem, OR 97304
Salem, OR 97304
Polk County