Vanida Wangwongvivat
ActiveCalifornia license 40903
License
- Licensed by
- Dental Board of California
- License number
- 40903
- Status
- Active (Current)
- First issued
- July 28, 1993
- Expires
- October 31, 2028
- License holder
- Vanida Wangwongvivat
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12724-26 Sherman Way
North Hollywood, CA 91605
North Hollywood, CA 91605
Los Angeles County