Zeinat Alsadat Mortazavi Entesab
ActiveCalifornia license 49067
License
- Licensed by
- Dental Board of California
- License number
- 49067
- Status
- Active (Current)
- First issued
- December 1, 2017
- Expires
- September 30, 2028
- License holder
- Zeinat Alsadat Mortazavi Entesab
- Entity type
- Individual
Classifications
- Orthodontic Assistant Dental
More from the license record
- License type code
- 4415
Contact
2807 Yulupa Ave Apt 42
Santa Rosa, CA 95405-8637
Santa Rosa, CA 95405-8637
Sonoma County