Shane Alan Fuller
ActiveCalifornia license 63426
License
- Licensed by
- Dental Board of California
- License number
- 63426
- Status
- Active (Current)
- First issued
- May 29, 2014
- Expires
- February 28, 2027
- License holder
- Shane Alan Fuller
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
965 Vista Del Mar Pl
#405
Ventura, CA 93001-3761
#405
Ventura, CA 93001-3761
Ventura County