Jonathan R Basiago
ActiveCalifornia license 65149
License
- Licensed by
- Dental Board of California
- License number
- 65149
- Status
- Active (Current)
- First issued
- September 18, 2015
- Expires
- April 30, 2028
- License holder
- Jonathan R Basiago
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5330 E Ebell St
Long Beach, CA 90808-1914
Long Beach, CA 90808-1914
Los Angeles County