License Directory

Smiles of La Mesa, Dental Practice of Prasad Gonavarum, D.D.S., Professional Corporation

Active

California license 13050

License

Licensed by
Dental Board of California
License number
13050
Status
Active (Current)
First issued
August 29, 2016
Expires
August 31, 2027
Entity type
Organization

Classifications

  • Fictitious Name Permit Dental

More from the license record

License type code
4412
Related
Gonavarum Prasad (64360)

Contact

7122 University Avenue
La Mesa, CA 91942
San Diego County