Amritha R Minisandram
ActiveCalifornia license 104478
License
- Licensed by
- Dental Board of California
- License number
- 104478
- Status
- Active (Current)
- First issued
- October 6, 2019
- Expires
- October 31, 2027
- License holder
- Amritha R Minisandram
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
7058 Heartland Way
San Jose, CA 95135-2234
San Jose, CA 95135-2234
Santa Clara County