Jonathan David Pivo
ActiveCalifornia license 53645
License
- Licensed by
- Dental Board of California
- License number
- 53645
- Status
- Active (Current)
- First issued
- July 12, 2005
- Expires
- November 30, 2027
- License holder
- Jonathan David Pivo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12849 Magnolia Blvd
Valley Village, CA 91607-2356
Valley Village, CA 91607-2356
Los Angeles County