Lakeshore Oral & Maxillofacial Surgery Specialty, Dental Practice

License

Licensed by

Dental Board of California

License number

11610

Status

Active (Current)

First issued

September 29, 2014

Expires

December 31, 2027

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Krakowiak Peter (49350)

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