Menifee Lakes Dental Group, Poulsen Dental Corporation
ActiveCalifornia license 13804
License
- Licensed by
- Dental Board of California
- License number
- 13804
- Status
- Active (Current)
- First issued
- October 3, 2017
- Expires
- July 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Dhama Deepika (49044)
- Related
- Poulsen Kyle (64955)
- Related
- Lee Frederick (43359)
- Related
- Ghazal Carolyn (38682)
Contact
29121 Newport Rd Ste 101
Menifee, CA 92584
Menifee, CA 92584
Riverside County