Dipa Sidharaju Cappelen
ActiveCalifornia license 60454
License
- Licensed by
- Dental Board of California
- License number
- 60454
- Status
- Active (Current)
- First issued
- June 29, 2011
- Expires
- September 30, 2028
- License holder
- Dipa Sidharaju Cappelen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
912 Grand Avenue
Suite 201
San Rafael, CA 94901
Suite 201
San Rafael, CA 94901
Marin County