Department of State
Board of Medicine
SAM OH
Dentist
License number
DS031213L
Date granted
03/07/2000
Date expires
03/31/2009
Class
Dentist
Status
Suspended
Address
Carnation WA 98014
medicinepa.com
ID 37435187
LAST UPDATED 2024-02-07 16:27:39 UTC
LAST UPDATED 2024-02-07 16:27:39 UTC
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