Sogol Shantiyai
InactiveCalifornia license 104633
License
- Licensed by
- Dental Board of California
- License number
- 104633
- Status
- Inactive (CurrentInactive)
- First issued
- December 18, 2019
- Expires
- February 28, 2027
- License holder
- Sogol Shantiyai
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
16809 Quail Country Ave
Chino Hills, CA 91709-6385
Chino Hills, CA 91709-6385
San Bernardino County