1st Impressions Dentistry, Dental Office of Shannon S. Russell, D

License

Licensed by

Dental Board of California

License number

11479

Status

Active (Current)

First issued

August 19, 2014

Expires

May 31, 2028

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Russell Shannon (55030)

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