Thomas Surjanto Sudibjo
ActiveCalifornia license 45983
License
- Licensed by
- Dental Board of California
- License number
- 45983
- Status
- Active (Current)
- First issued
- November 3, 1998
- Expires
- January 31, 2027
- License holder
- Thomas Surjanto Sudibjo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
13362 Newport Ave Ste E
Tustin, CA 92780-3427
Tustin, CA 92780-3427
Orange County