Massachusetts
Division of Professional Licensure
Fernanda Provencher
Dentistry - Dental Assistant
License number
DA00233
Date granted
11/10/2014
Date expires
10/31/2017
Class
Dentistry - Dental Assistant
Status
Current
Address
United States
licensingma.org
ID 38251884
LAST UPDATED 2024-02-03 23:18:16 UTC
LAST UPDATED 2024-02-03 23:18:16 UTC
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