Samuel Yohannes Russom
ActiveCalifornia license 104651
License
- Licensed by
- Dental Board of California
- License number
- 104651
- Status
- Active (Current)
- First issued
- December 22, 2019
- Expires
- May 31, 2027
- License holder
- Samuel Yohannes Russom
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5311 Oak Park Dr
San Diego, CA 92105-4959
San Diego, CA 92105-4959
San Diego County