Team Perio Dental Group of Eric Blasingame Dds, Ms, Inc.

License

Licensed by

Dental Board of California

License number

16075

Status

Active (Current)

First issued

October 27, 2020

Expires

June 30, 2027

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Blasingame Eric (61911)

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