La Sierra Family Dentistry, Dental Group of Chanchai Sangsurasah, Dds Inc

License

Licensed by

Dental Board of California

License number

14032

Status

Expired (Delinquent)

First issued

February 8, 2018

Expired

April 30, 2022

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Sangsurasak Chanchai (58501)

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