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Active

California license 5822

License

Licensed by
Dental Board of California
License number
5822
Status
Active (Current)
First issued
May 9, 2019
Expires
May 31, 2027
Entity type
Organization

Classifications

More from the license record

License type code
4411

Contact

4320 Deerwood Lake Parkway
Suite 101-332
Jacksonville, FL 32216
Duval County