Andre Widodo, Dds
ActiveCalifornia license 9683
License
- Licensed by
- Dental Board of California
- License number
- 9683
- Status
- Active (Current)
- First issued
- September 5, 2009
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Widodo Andre (46152)
Contact
11635 Valley Blvd.
Ste. E
El Monte, CA 91732
Ste. E
El Monte, CA 91732
Los Angeles County