Stephanie P Purnomo
ActiveCalifornia license 63704
License
- Licensed by
- Dental Board of California
- License number
- 63704
- Status
- Active (Current)
- First issued
- July 22, 2014
- Expires
- September 30, 2028
- License holder
- Stephanie P Purnomo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
113 Waterworks Way
Ste 215
Irvine, CA 92618-3167
Ste 215
Irvine, CA 92618-3167
Orange County