Walter Alexander Vivas Henriquez
ActiveCalifornia license 37557
License
- Licensed by
- Dental Board of California
- License number
- 37557
- Status
- Active (Current)
- First issued
- September 11, 2026
- Expires
- August 31, 2028
- License holder
- Walter Alexander Vivas Henriquez
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
Other California licenses under this name
-
CA
ActiveAntioch, CAExpires Aug 31, 2028
Contact
2111 Field St
Antioch, CA 94509
Antioch, CA 94509
Contra Costa County