Teeth "R" US Children Dentistry, Dental Office of Dr. Andriani Ongkorahardjo, D.D.S.
ActiveCalifornia license 14031
License
- Licensed by
- Dental Board of California
- License number
- 14031
- Status
- Active (Current)
- First issued
- February 7, 2018
- Expires
- November 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Ongkorahardjo Andriani (46120)
Contact
660 N Diamond Bar Blvd
Suite 288
Diamond Bar, CA 91765-1008
Suite 288
Diamond Bar, CA 91765-1008
Los Angeles County