Adelheid Nerisa Limansubroto
ActiveCalifornia license 104987
License
- Licensed by
- Dental Board of California
- License number
- 104987
- Status
- Active (Current)
- First issued
- July 3, 2020
- Expires
- June 30, 2027
- License holder
- Adelheid Nerisa Limansubroto
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4230 Novel Ct
Hacienda Heights, CA 91745-6184
Hacienda Heights, CA 91745-6184
Los Angeles County