Diamond Valley Dentist A Dental Office of Nathan Jergensen Dmd Inc.

License

Licensed by

Dental Board of California

License number

13384

Status

Expired (Delinquent)

First issued

March 22, 2017

Expired

November 30, 2021

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Jergensen Nathan (63962)

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