Eric Michael Wallace
ActiveCalifornia license 1300
License
- Licensed by
- Dental Board of California
- License number
- 1300
- Status
- Active (Current)
- First issued
- June 29, 2004
- Expires
- November 30, 2027
- License holder
- Eric Michael Wallace
- Entity type
- Individual
Classifications
- General Anesthesia Permit Other Health Care
More from the license record
- License type code
- 4403
- Related
- Wallace Eric (52016)
Other California licenses under this name
-
CA
ActiveSanta Barbara, CAExpires Nov 30, 2027
Contact
1515 State Street #9
Santa Barbara, CA 93101
Santa Barbara, CA 93101
Santa Barbara County