Viktor P Ivantsov
ActiveCalifornia license 63763
License
- Licensed by
- Dental Board of California
- License number
- 63763
- Status
- Active (Current)
- First issued
- January 24, 2005
- Expires
- February 29, 2028
- License holder
- Viktor P Ivantsov
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
2615 Du Pont Way
Roseville, CA 95661-3936
Roseville, CA 95661-3936
Placer County