Danny Suryaguna Muditajaya
ActiveCalifornia license 30419
License
- Licensed by
- Dental Board of California
- License number
- 30419
- Status
- Active (Current)
- First issued
- May 7, 1982
- Expires
- September 30, 2027
- License holder
- Danny Suryaguna Muditajaya
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
9123 Slauson Ave
Pico Rivera, CA 90660-4522
Pico Rivera, CA 90660-4522
Los Angeles County