Piyanut Patricia Itarut
ActiveCalifornia license 65146
License
- Licensed by
- Dental Board of California
- License number
- 65146
- Status
- Active (Current)
- First issued
- September 18, 2015
- Expires
- January 31, 2028
- License holder
- Piyanut Patricia Itarut
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3756 Lavista Rd Ste 102
Tucker, GA 30084-5642
Tucker, GA 30084-5642
De Kalb County