Ninousha E Basti
ActiveCalifornia license 55294
License
- Licensed by
- Dental Board of California
- License number
- 55294
- Status
- Active (Current)
- First issued
- November 21, 2006
- Expires
- July 31, 2027
- License holder
- Ninousha E Basti
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
150 Avenida Del Mar
ste # C
San Clemente, CA 92672-4010
ste # C
San Clemente, CA 92672-4010
Orange County