Lata Mathew Thampy
ActiveCalifornia license 57947
License
- Licensed by
- Dental Board of California
- License number
- 57947
- Status
- Active (Current)
- First issued
- November 20, 2008
- Expires
- November 30, 2026
- License holder
- Lata Mathew Thampy
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5867 Lone Tree Way
Antioch, CA 94531
Antioch, CA 94531
Contra Costa County