Aniceto Grospe Poyaoan Jr
ActiveCalifornia license 63055
License
- Licensed by
- Dental Board of California
- License number
- 63055
- Status
- Active (Current)
- First issued
- October 8, 2004
- Expires
- July 31, 2027
- License holder
- Aniceto Grospe Poyaoan Jr
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
5084 Tranquil Way Unit 102
Oceanside, CA 92057-7884
Oceanside, CA 92057-7884
San Diego County