Purita Bangasan Ebbay
ActiveCalifornia license 39789
License
- Licensed by
- Dental Board of California
- License number
- 39789
- Status
- Active (Current)
- First issued
- November 8, 1991
- Expires
- October 31, 2028
- License holder
- Purita Bangasan Ebbay
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1105 E Plaza Blvd
Ste. C
National City, CA 91950-3551
Ste. C
National City, CA 91950-3551
San Diego County