Bita Ansari
ActiveCalifornia license 104567
License
- Licensed by
- Dental Board of California
- License number
- 104567
- Status
- Active (Current)
- First issued
- December 2, 2019
- Expires
- April 30, 2027
- License holder
- Bita Ansari
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
19528 Ventura Blvd
Unit 711
Tarzana, CA 91356-2917
Unit 711
Tarzana, CA 91356-2917
Los Angeles County