Southern Smiles Dental Practice, Keith M. Long Dds PC

License

Licensed by

Dental Board of California

License number

11155

Status

Expired (Delinquent)

First issued

March 14, 2014

Expired

February 29, 2024

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Long Keith (40662)

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