Tara Vattadi
ActiveCalifornia license 107043
License
- Licensed by
- Dental Board of California
- License number
- 107043
- Status
- Active (Current)
- First issued
- October 4, 2021
- Expires
- December 31, 2027
- License holder
- Tara Vattadi
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2506 Glen Canyon Rd
Scotts Valley, CA 95060-1211
Scotts Valley, CA 95060-1211