Perrisofian Putrasahan

License

Licensed by

Dental Board of California

License number

1012

Status

Active (Current)

First issued

August 24, 1993

Expires

April 30, 2027

License holder

Perrisofian Putrasahan

Entity type

Individual

Classifications

• General Anesthesia Permit Other Health Care

More from the license record

License type code

4403

Related

Putrasahan Perrisofian (39466)

Other California licenses under this name

• CA
  Perrisofian Putrasahan

  License 39466

  Dental License
  Active

  Cathedral City, CA

  Expires Apr 30, 2027

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