Padmaja Koya Mutyala
InactiveCalifornia license 54081
License
- Licensed by
- Dental Board of California
- License number
- 54081
- Status
- Inactive (CurrentInactive)
- First issued
- September 15, 2005
- Expires
- September 30, 2027
- License holder
- Padmaja Koya Mutyala
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
11311 Crabbet Park Dr
Bakersfield, CA 93311-9227
Bakersfield, CA 93311-9227
Kern County