Collet R Masillamoni
InactiveCalifornia license 63090
License
- Licensed by
- Dental Board of California
- License number
- 63090
- Status
- Inactive (CurrentInactive)
- First issued
- October 28, 2013
- Expires
- December 31, 2026
- License holder
- Collet R Masillamoni
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4263 E County 15th St
Yuma, AZ 85365-9318
Yuma, AZ 85365-9318
Yuma County