Genesis Dentistry Dental Group Practice of Michelle De La Vega De

License

Licensed by

Dental Board of California

License number

12202

Status

Active (Current)

First issued

June 8, 2015

Expires

May 31, 2027

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

De La Vega Michelle (50237)

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