Soumya Shivanna
ActiveCalifornia license 55657
License
- Licensed by
- Dental Board of California
- License number
- 55657
- Status
- Active (Current)
- First issued
- May 2, 2007
- Expires
- October 31, 2028
- License holder
- Soumya Shivanna
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1620 E Capitol Expy
Suite C
San Jose, CA 95121-1860
Suite C
San Jose, CA 95121-1860
Santa Clara County