North Carolina
Secretary of State
Lata Mathew Thampy
Dental - Credentialing
License number
8854
Date granted
08/13/2009
Date expires
03/31/2012
Class
Dental - Credentialing
Status
Address
SAN RAMON CA
licensingnc.com
ID 19234015
LAST UPDATED 2026-06-13 04:32:09 UTC
LAST UPDATED 2026-06-13 04:32:09 UTC
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