Bryant Anthony Irawan
ActiveCalifornia license 103922
License
- Licensed by
- Dental Board of California
- License number
- 103922
- Status
- Active (Current)
- First issued
- July 2, 2019
- Expires
- August 31, 2027
- License holder
- Bryant Anthony Irawan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1901 Portola Dr
Apt 1
Santa Cruz, CA 95062-4948
Apt 1
Santa Cruz, CA 95062-4948
Santa Cruz County