Newport Oral Surgery, Dental Practice of Gary L. Wyatt, Dds, Thomas R. Michaelis, Dds, and Vivian Jui, Dmd

License

Licensed by

Dental Board of California

License number

12707

Status

Expired (Delinquent)

First issued

March 10, 2016

Expired

August 31, 2022

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Jui Vivian (38855)

Related

Michaelis Thomas (42745)

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