Asal Sadat Mirhadizadeh
ActiveCalifornia license 109996
License
- Licensed by
- Dental Board of California
- License number
- 109996
- Status
- Active (Current)
- First issued
- March 30, 2024
- Expires
- August 31, 2027
- License holder
- Asal Sadat Mirhadizadeh
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
826 Lombard St Unit A
Philadelphia, PA 19147-1317
Philadelphia, PA 19147-1317
Philadelphia County