Shine on Dental Group Shiva Mohtasham Dds, Inc
ActiveCalifornia license 12469
License
- Licensed by
- Dental Board of California
- License number
- 12469
- Status
- Active (Current)
- First issued
- October 22, 2015
- Expires
- February 29, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Mohtasham Shiva (51976)
Contact
1501 Bollinger Canyon Road, Suite F
San Ramon, CA 94583
San Ramon, CA 94583
Contra Costa County