Supritha Nilam
ActiveCalifornia license 106194
License
- Licensed by
- Dental Board of California
- License number
- 106194
- Status
- Active (Current)
- First issued
- June 3, 2021
- Expires
- January 31, 2027
- License holder
- Supritha Nilam
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2440 S Barrington Ave
Apt 114
Los Angeles, CA 90064-2950
Apt 114
Los Angeles, CA 90064-2950
Los Angeles County