17th Street Modern Dentistry Dental Group Clint Walker Dental Corporation
ActiveCalifornia license 14412
License
- Licensed by
- Dental Board of California
- License number
- 14412
- Status
- Active (Current)
- First issued
- August 14, 2018
- Expires
- June 30, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Reagan Darin (34407)
- Related
- Shetty Swati (50587)
- Related
- Walker Clint (63663)
- Related
- Najafi Neusha (57792)
- Related
- Nguyen Bach (49784)
Contact
270 E. 17th Street, Ste 15
Costa Mesa, CA 92627
Costa Mesa, CA 92627
Orange County