Peninsula Dental Implant Center, Dental Office of Shivani Gupta,
ExpiredCalifornia license 12262
License
- Licensed by
- Dental Board of California
- License number
- 12262
- Status
- Expired (Delinquent)
- First issued
- July 2, 2015
- Expired
- April 30, 2025
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Gupta Shivani (54260)
Contact
1201 Saint Francis Way
San Carlos, CA 94070
San Carlos, CA 94070
San Mateo County