Azzah M Widatalla
ActiveCalifornia license 105590
License
- Licensed by
- Dental Board of California
- License number
- 105590
- Status
- Active (Current)
- First issued
- September 25, 2020
- Expires
- June 30, 2027
- License holder
- Azzah M Widatalla
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
428 N Ogden Dr Apt 4
Los Angeles, CA 90036
Los Angeles, CA 90036
Los Angeles County