Narissa Bawalan Ambata
ActiveCalifornia license 61070
License
- Licensed by
- Dental Board of California
- License number
- 61070
- Status
- Active (Current)
- First issued
- December 22, 2011
- Expires
- March 31, 2027
- License holder
- Narissa Bawalan Ambata
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4509 Slauson Ave
Suite B
Maywood, CA 90270
Suite B
Maywood, CA 90270
Los Angeles County