Azita Moghaddam
ActiveCalifornia license 47292
License
- Licensed by
- Dental Board of California
- License number
- 47292
- Status
- Active (Current)
- First issued
- August 14, 2000
- Expires
- March 31, 2027
- License holder
- Azita Moghaddam
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
319 Sprig Circle
Folsom, CA 95630
Folsom, CA 95630
Sacramento County