Awa Alizadeh Ghannad
ActiveCalifornia license 110597
License
- Licensed by
- Dental Board of California
- License number
- 110597
- Status
- Active (Current)
- First issued
- August 18, 2024
- Expires
- December 31, 2026
- License holder
- Awa Alizadeh Ghannad
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
16014 Legacy Rd Unit 205
Tustin, CA 92782-2824
Tustin, CA 92782-2824
Orange County