Mamta Ketan Shah
ActiveCalifornia license 41215
License
- Licensed by
- Dental Board of California
- License number
- 41215
- Status
- Active (Current)
- First issued
- August 4, 1993
- Expires
- April 30, 2027
- License holder
- Mamta Ketan Shah
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
39069
Mission Blvd. Ste 200
Fremont, CA 94539
Mission Blvd. Ste 200
Fremont, CA 94539
Alameda County