License holder summary

PROVENCIO HEATHER BETH is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/17/1997 and expired on 03/31/2009.

Department of Consumer Affairs

Dental Board of California

PROVENCIO HEATHER BETH
Registered Dental Assistant
License number
48351
Date granted
04/17/1997
Date expires
03/31/2009
Class
Registered Dental Assistant
Status
Canceled
dentistscalifornia.org
ID 19752493
LAST UPDATED 2026-05-09 21:16:17 UTC

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