Clearchoice Dental Implant Center, Dental Office of Jenna M. Benko Supowit, Dmd
ExpiredCalifornia license 14570
License
- Licensed by
- Dental Board of California
- License number
- 14570
- Status
- Expired (Delinquent)
- First issued
- November 8, 2018
- Expired
- December 31, 2021
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Benko Supowit Jenna (63557)
Contact
21525 Hawthorne Boulevard, Pavillion A
Torrance, CA 90503
Torrance, CA 90503
Los Angeles County