Clement Street Dental Office

License

Licensed by

Dental Board of California

License number

1217

Status

Expired (Delinquent)

First issued

October 20, 1995

Expired

April 30, 2022

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Lew Michael (37865)

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