Maxine Mary Fotadar
InactiveCalifornia license 62818
License
- Licensed by
- Dental Board of California
- License number
- 62818
- Status
- Inactive (CurrentInactive)
- First issued
- August 13, 2013
- Expires
- June 30, 2028
- License holder
- Maxine Mary Fotadar
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
17 Brandt Dr
Moraga, CA 94556-2811
Moraga, CA 94556-2811
Contra Costa County