Garrett Osamu Ota
InactiveCalifornia license 41976
License
- Licensed by
- Dental Board of California
- License number
- 41976
- Status
- Inactive (CurrentInactive)
- First issued
- August 29, 1994
- Expires
- May 31, 2028
- License holder
- Garrett Osamu Ota
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1084 Kukuau St
Hilo, HI 96720
Hilo, HI 96720
Hawaii County