License Directory

Anna Witanto

Active

California license 44642

License

Licensed by
Dental Board of California
License number
44642
Status
Active (Current)
First issued
August 4, 1997
Expires
March 31, 2028
License holder
Anna Witanto
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

104 Rush Creek Ct
San Ramon, CA 94582-5624
Contra Costa County