License Directory

Wassan Raphael

Active

California license 109721

License

Licensed by
Dental Board of California
License number
109721
Status
Active (Current)
First issued
November 30, 2023
Expires
October 31, 2027
License holder
Wassan Raphael
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

10833 Wilshire Blvd
Apt 428
Los Angeles, CA 90024
Los Angeles County