Gia Dental Group, Dental Group of Ivan R. Moreno, Dds, Inc.
ExpiredCalifornia license 12774
License
- Licensed by
- Dental Board of California
- License number
- 12774
- Status
- Expired (Delinquent)
- First issued
- April 13, 2016
- Expired
- December 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Moreno Ivan (49605)
Contact
355 K Street, Suite A
Chula Vista, CA 91911
Chula Vista, CA 91911
San Diego County