Lone Tree Dental Group, Maryam E. Khakpour D.D.S., Inc.

License

Licensed by

Dental Board of California

License number

11388

Status

Expired (Delinquent)

First issued

July 7, 2014

Expired

February 28, 2022

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Khakpour Maryam (55625)

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