Team Perio Dental Group of Blasingame Dental Corporation

License

Licensed by

Dental Board of California

License number

18994

Status

Active (Current)

First issued

October 14, 2024

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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