Sivothayan Sevvanthiraja
ActiveCalifornia license 106996
License
- Licensed by
- Dental Board of California
- License number
- 106996
- Status
- Active (Current)
- First issued
- September 22, 2021
- Expires
- April 30, 2028
- License holder
- Sivothayan Sevvanthiraja
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
402 W Grand Ave
303
Grover Beach, CA 93433
303
Grover Beach, CA 93433
San Luis Obispo County