Andre Widodo
ActiveCalifornia license 46152
License
- Licensed by
- Dental Board of California
- License number
- 46152
- Status
- Active (Current)
- First issued
- May 21, 1999
- Expires
- September 30, 2027
- License holder
- Andre Widodo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2112 S Garey Ave, Ste A
Pomona, CA 91766-5600
Pomona, CA 91766-5600
Los Angeles County