Jamie Grinnell Leach
InactiveCalifornia license 62686
License
- Licensed by
- Dental Board of California
- License number
- 62686
- Status
- Inactive (CurrentInactive)
- First issued
- July 26, 2013
- Expires
- April 30, 2028
- License holder
- Jamie Grinnell Leach
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3130 Alpine Road
288-404
Portola Valley, CA 94028
288-404
Portola Valley, CA 94028
San Mateo County