Anna Ivanova Kolentsova
ActiveCalifornia license 105629
License
- Licensed by
- Dental Board of California
- License number
- 105629
- Status
- Active (Current)
- First issued
- October 2, 2020
- Expires
- July 31, 2028
- License holder
- Anna Ivanova Kolentsova
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12043 Magnolia Blvd
Valley Village, CA 91607-2740
Valley Village, CA 91607-2740
Los Angeles County