California
Department of Consumer Affairs
LAKE ROBERT DALE
Dental License
License number
22634
Date granted
01/01/1972
Date expires
02/28/2017
Class
Dental License
Status
Current
Address
16882 BOLSA CHICA RD STE 204 HUNTINGTON BEACH CA 92649
californialicensing.org
ID 19778669
LAST UPDATED 2025-02-25 23:49:38 UTC
LAST UPDATED 2025-02-25 23:49:38 UTC
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