Pouya Ansari
ActiveCalifornia license 107837
License
- Licensed by
- Dental Board of California
- License number
- 107837
- Status
- Active (Current)
- First issued
- August 21, 2022
- Expires
- September 30, 2028
- License holder
- Pouya Ansari
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1179 Kipling Ave
Los Angeles, CA 90041-1614
Los Angeles, CA 90041-1614
Los Angeles County