805 Dentistry, Dental Office, Radfar
ExpiredCalifornia license 12407
License
- Licensed by
- Dental Board of California
- License number
- 12407
- Status
- Expired (Delinquent)
- First issued
- September 25, 2015
- Expired
- June 30, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Haddad Georgia (49896)
- Related
- Radfar Daryoush (49978)
Contact
361 E. Thousand Oaks Blvd
Thousand Oaks, CA 91360
Thousand Oaks, CA 91360
Ventura County