Thavisab Noy Hatlavongsa
ActiveCalifornia license 49898
License
- Licensed by
- Dental Board of California
- License number
- 49898
- Status
- Active (Current)
- First issued
- August 19, 2002
- Expires
- November 30, 2026
- License holder
- Thavisab Noy Hatlavongsa
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
29798 Haun Rd Suite 306
Menifee, CA 92586
Menifee, CA 92586
Riverside County