Peninsula Pediatric Dentistry and Orthodontics, Dental Office of
ExpiredCalifornia license 11165
License
- Licensed by
- Dental Board of California
- License number
- 11165
- Status
- Expired (Delinquent)
- First issued
- March 14, 2014
- Expired
- February 28, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Davis Tyler (61391)
- Related
- Spitz Charles (22672)
Contact
50 South San Mateo Drive
Suite 160
San Mateo, CA 94401
Suite 160
San Mateo, CA 94401
San Mateo County