Jay F K Ponto
InactiveCalifornia license 63540
License
- Licensed by
- Dental Board of California
- License number
- 63540
- Status
- Inactive (CurrentInactive)
- First issued
- June 27, 2014
- Expires
- June 30, 2027
- License holder
- Jay F K Ponto
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2421 Lane Parke Ct
Birmingham, AL 35223-2373
Birmingham, AL 35223-2373
Jefferson County