Bradley Blake Field
InactiveCalifornia license 61251
License
- Licensed by
- Dental Board of California
- License number
- 61251
- Status
- Inactive (CurrentInactive)
- First issued
- April 3, 2012
- Expires
- September 30, 2027
- License holder
- Bradley Blake Field
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
20385 Buttermilk
Bend, OR 97702
Bend, OR 97702
Deschutes County