Alan Armando Pena Agraz
ActiveCalifornia license 104011
License
- Licensed by
- Dental Board of California
- License number
- 104011
- Status
- Active (Current)
- First issued
- December 6, 2024
- Expired
- October 31, 2026
- License holder
- Alan Armando Pena Agraz
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
15163 Sherman Way
Apt 11
Van Nuys, CA 91405
Apt 11
Van Nuys, CA 91405