License Directory

Thomas Surjanto Sudibjo

Active

California 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

More from the license record

License type code
4401

Contact

13362 Newport Ave Ste E
Tustin, CA 92780-3427
Orange County