Evergreen Family Dental Group Soumya Shivanna Dds

License

Licensed by

Dental Board of California

License number

12340

Status

Active (Current)

First issued

August 19, 2015

Expires

October 31, 2028

Entity type

Organization

Classifications

• Fictitious Name Permit Dental

More from the license record

License type code

4412

Related

Shivanna Soumya (55657)

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