Theo Widya Setia
ActiveCalifornia license 41997
License
- Licensed by
- Dental Board of California
- License number
- 41997
- Status
- Active (Current)
- First issued
- July 27, 1994
- Expires
- November 30, 2026
- License holder
- Theo Widya Setia
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1361 N Alameda Ave
Azusa, CA 91702-1511
Azusa, CA 91702-1511
Los Angeles County