Blue Mountain Dentistry, Dental Practice of Dr. Khatibzadeh

License

Licensed by

Dental Board of California

License number

13656

Status

Expired (Delinquent)

First issued

July 25, 2017

Expired

December 31, 2021

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

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