Mikoyan Medina Lagrimas
ActiveCalifornia license 61786
License
- Licensed by
- Dental Board of California
- License number
- 61786
- Status
- Active (Current)
- First issued
- August 14, 2012
- Expires
- April 30, 2027
- License holder
- Mikoyan Medina Lagrimas
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3110 Kerner Blvd
San Rafael, CA 94901-5411
San Rafael, CA 94901-5411
Marin County