Benicia Family Dentistry, A Dental Practice of Berous Lane Parish

License

Licensed by

Dental Board of California

License number

11640

Status

Expired (Delinquent)

First issued

October 6, 2014

Expired

October 31, 2022

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Shyn Sung (50862)

Related

Parish Berous (33507)

Contact