Orange Grove Family Dentistry Dental Practice of Kyle Nishimura Dmd, Inc
ActiveCalifornia license 13357
License
- Licensed by
- Dental Board of California
- License number
- 13357
- Status
- Active (Current)
- First issued
- March 6, 2017
- Expires
- March 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Nishimura Kyle (62496)
Contact
1467 N Wanda Rd Ste 105
Villa Park, CA 92867-5344
Villa Park, CA 92867-5344
Los Angeles County