Modesto Modern Dentistry Dental Group, Michael Lopez Dental Corporation
ExpiredCalifornia license 14015
License
- Licensed by
- Dental Board of California
- License number
- 14015
- Status
- Expired (Delinquent)
- First issued
- February 5, 2018
- Expired
- April 30, 2023
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Gill Amardeep (50464)
- Related
- Lopez Michael (57591)
- Related
- Vicuna Sergio (53129)
- Related
- Bautista Reymond (56217)
Contact
2103 McHenry Ave Ste C
Modesto, CA 95350
Modesto, CA 95350
Stanislaus County