Azita Ezzati
ActiveCalifornia license 109845
License
- Licensed by
- Dental Board of California
- License number
- 109845
- Status
- Active (Current)
- First issued
- February 1, 2024
- Expires
- August 31, 2027
- License holder
- Azita Ezzati
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5501 Newcastle Ave, #202
Encino, CA 91316
Encino, CA 91316