Eliseo Ernesto Valladares Lazo
ActiveCalifornia license 61066
License
- Licensed by
- Dental Board of California
- License number
- 61066
- Status
- Active (Current)
- First issued
- December 8, 2011
- Expires
- May 31, 2027
- License holder
- Eliseo Ernesto Valladares Lazo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1791 Marlow Rd. Suite 1-D
Santa Rosa, CA 95401
Santa Rosa, CA 95401
Sonoma County