Powell Pediatric Dentistry, Dental Practice of Brent David Powell

License

Licensed by

Dental Board of California

License number

11781

Status

Expired (Delinquent)

First issued

December 30, 2014

Expired

September 30, 2021

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Powell Brent (56148)

Contact