Elly Indrawaty Swadipura
ActiveCalifornia license 37508
License
- Licensed by
- Dental Board of California
- License number
- 37508
- Status
- Active (Current)
- First issued
- July 26, 1989
- Expires
- July 31, 2027
- License holder
- Elly Indrawaty Swadipura
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
505 E Arrow Hwy
Glendora, CA 91740-6034
Glendora, CA 91740-6034
Los Angeles County