Rahul Anand Datar
ExpiredCalifornia license 104764
License
- Licensed by
- Dental Board of California
- License number
- 104764
- Status
- Expired (Delinquent)
- First issued
- January 14, 2020
- Expired
- December 31, 2022
- License holder
- Rahul Anand Datar
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
30 Davelin Road
Wayland, MA 01778
Wayland, MA 01778
Middlesex County