Eastlake Pediatric Dentistry, Dental Office of Pham and Mauseth Dds Inc.

License

Licensed by

Dental Board of California

License number

14748

Status

Expired (Delinquent)

First issued

January 17, 2019

Expired

October 31, 2021

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Mauseth Spencer (61986)

Related

Pham Chieu (52916)

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