Idenis Fundora
ActiveCalifornia license 47621
License
- Licensed by
- Dental Board of California
- License number
- 47621
- Status
- Active (Current)
- First issued
- August 9, 2000
- Expires
- November 30, 2026
- License holder
- Idenis Fundora
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1025 N Brand Blvd
Suite 220
Glendale, CA 91202
Suite 220
Glendale, CA 91202
Los Angeles County