Charise Ruby Untalan
ActiveCalifornia license 49984
License
- Licensed by
- Dental Board of California
- License number
- 49984
- Status
- Active (Current)
- First issued
- August 26, 2002
- Expires
- June 30, 2028
- License holder
- Charise Ruby Untalan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
730 S Western Ave
Suite 202
Los Angeles, CA 90005
Suite 202
Los Angeles, CA 90005
Los Angeles County