Jacob Dean Kelly
ActiveCalifornia license 63699
License
- Licensed by
- Dental Board of California
- License number
- 63699
- Status
- Active (Current)
- First issued
- July 22, 2014
- Expires
- June 30, 2028
- License holder
- Jacob Dean Kelly
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2360 Professional Dr Ste 100
Roseville, CA 95661-7782
Roseville, CA 95661-7782
Placer County