Raphael Separzadeh
ActiveCalifornia license 56203
License
- Licensed by
- Dental Board of California
- License number
- 56203
- Status
- Active (Current)
- First issued
- August 16, 2007
- Expires
- December 31, 2027
- License holder
- Raphael Separzadeh
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
14535 Hamlin St
Van Nuys, CA 91411-1608
Van Nuys, CA 91411-1608
Los Angeles County