Audrey Indhira Sulaeman
ActiveCalifornia license 36549
License
- Licensed by
- Dental Board of California
- License number
- 36549
- Status
- Active (Current)
- First issued
- April 7, 1988
- Expires
- September 30, 2028
- License holder
- Audrey Indhira Sulaeman
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
25054 E Baseline St
San Bernardino, CA 92410
San Bernardino, CA 92410
San Bernardino County