Pujitha Talasila
InactiveCalifornia license 109365
License
- Licensed by
- Dental Board of California
- License number
- 109365
- Status
- Inactive (CurrentInactive)
- First issued
- September 12, 2023
- Expires
- December 31, 2026
- License holder
- Pujitha Talasila
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
8537 Nicholson Dr
Frisco, TX 75036-8287
Frisco, TX 75036-8287