Yeni Sutanto
ActiveCalifornia license 39212
License
- Licensed by
- Dental Board of California
- License number
- 39212
- Status
- Active (Current)
- First issued
- July 26, 1991
- Expires
- July 31, 2027
- License holder
- Yeni Sutanto
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
6931 Van Nuys Blvd
Suite 100
Van Nuys, CA 91405
Suite 100
Van Nuys, CA 91405
Los Angeles County