Mark Charles Fagan
ActiveCalifornia license 105
License
- Licensed by
- Dental Board of California
- License number
- 105
- Status
- Active (Current)
- First issued
- March 21, 2023
- Expires
- April 30, 2027
- License holder
- Mark Charles Fagan
- Entity type
- Individual
Classifications
- Moderate Sedation Permit Dental
More from the license record
- License type code
- 4417
- Related
- Fagan Mark (38419)
Other California licenses under this name
-
CA
ActiveSan Jose, CAExpires Apr 30, 2027
Contact
1660 Willow Street, #3
San Jose, CA 95125
San Jose, CA 95125
Santa Clara County