License Directory

Jiravat Wangwongvivat

Active

California license 40201

License

Licensed by
Dental Board of California
License number
40201
Status
Active (Current)
First issued
August 14, 1992
Expires
January 31, 2028
License holder
Jiravat Wangwongvivat
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

12724 Sherman Way
North Hollywood, CA 91605
Los Angeles County