Garrett Matthew Russikoff
ActiveCalifornia license 102465
License
- Licensed by
- Dental Board of California
- License number
- 102465
- Status
- Active (Current)
- First issued
- May 22, 2018
- Expires
- June 30, 2027
- License holder
- Garrett Matthew Russikoff
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4940 Garden Grove Ave
Tarzana, CA 91356-4316
Tarzana, CA 91356-4316
Los Angeles County