Susana Degollado
ActiveCalifornia license 36388
License
- Licensed by
- Dental Board of California
- License number
- 36388
- Status
- Active (Current)
- First issued
- September 16, 2019
- Expires
- July 31, 2027
- License holder
- Susana Degollado
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
Contact
15357 Martos Rd
Fontana, CA 92337-0973
Fontana, CA 92337-0973