Misty M Black
ActiveCalifornia license 59622
License
- Licensed by
- Dental Board of California
- License number
- 59622
- Status
- Active (Current)
- First issued
- August 5, 2010
- Expires
- August 31, 2028
- License holder
- Misty M Black
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5425 Shenandoah
Los Angeles, CA 90056
Los Angeles, CA 90056
Los Angeles County