Kevin Michael Hadidjaja
ActiveCalifornia license 105752
License
- Licensed by
- Dental Board of California
- License number
- 105752
- Status
- Active (Current)
- First issued
- October 22, 2020
- Expires
- November 30, 2026
- License holder
- Kevin Michael Hadidjaja
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
6258 Sunnycrest Dr
Oak Park, CA 91377-1228
Oak Park, CA 91377-1228
Ventura County