Susan Rose Fuentes
ActiveCalifornia license 25831
License
- Licensed by
- Dental Board of California
- License number
- 25831
- Status
- Active (Current)
- First issued
- September 15, 1985
- Expires
- November 30, 2027
- License holder
- Susan Rose Fuentes
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
238 W 10th St
Azusa, CA 91702-2309
Azusa, CA 91702-2309
Los Angeles County