Keith Monroe Long
ActiveCalifornia license 366
License
- Licensed by
- Dental Board of California
- License number
- 366
- Status
- Active (Current)
- First issued
- February 6, 2024
- Expires
- February 29, 2028
- License holder
- Keith Monroe Long
- Entity type
- Individual
Classifications
- Moderate Sedation Permit Dental
More from the license record
- License type code
- 4417
- Related
- Long Keith (40662)
Other California licenses under this name
-
CA
ActiveLakeport, CAExpires Feb 29, 2028
Contact
160 Mackie Rd
Lakeport, CA 95453-6005
Lakeport, CA 95453-6005
Lake County