Supriya Suraj Vasanth
ActiveCalifornia license 101865
License
- Licensed by
- Dental Board of California
- License number
- 101865
- Status
- Active (Current)
- First issued
- August 7, 2017
- Expires
- February 29, 2028
- License holder
- Supriya Suraj Vasanth
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
15 El Camino Real
Millbrae, CA 94030-2603
Millbrae, CA 94030-2603
San Mateo County