Ytan Siomara Lopez
ActiveCalifornia license 64738
License
- Licensed by
- Dental Board of California
- License number
- 64738
- Status
- Active (Current)
- First issued
- July 29, 2005
- Expires
- October 31, 2027
- License holder
- Ytan Siomara Lopez
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
28662 Shady Tree Ln
Winchester, CA 92596-9322
Winchester, CA 92596-9322
Riverside County