Adam Takeo Ellenthal

License

Licensed by

Dental Board of California

License number

111647

Status

Active (Current)

First issued

June 9, 2025

Expires

April 30, 2028

License holder

Adam Takeo Ellenthal

Entity type

Individual

Classifications

• Dental License Dental

More from the license record

License type code

4401

Other California licenses under this name

• CA
  Adam Takeo Ellenthal

  License 417

  Pediatric Minimal Sedation Permit
  Active

  San Diego, CA

  Expires Apr 30, 2028

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