License Directory

California Dental Certifications

Active

California license 4164

License

Licensed by
Dental Board of California
License number
4164
Status
Active (Current)
First issued
December 30, 2003
Expires
December 31, 2027
Entity type
Organization

Classifications

More from the license record

License type code
4411

Contact

1059 1st Ave
San Diego, CA 92101-4808
San Diego County