Walter Alexander Vivas Henriquez
ActiveCalifornia license 89181
License
- Licensed by
- Dental Board of California
- License number
- 89181
- Status
- Active (Current)
- First issued
- August 15, 2017
- Expires
- August 31, 2028
- License holder
- Walter Alexander Vivas Henriquez
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Other California licenses under this name
-
CA
ActiveAntioch, CAExpires Aug 31, 2028
Contact
2111 Field St
Antioch, CA 94509-3917
Antioch, CA 94509-3917
Contra Costa County