Andriani Ongkorahardjo
ActiveCalifornia license 181
License
- Licensed by
- Dental Board of California
- License number
- 181
- Status
- Active (Current)
- First issued
- October 27, 2023
- Expires
- November 30, 2027
- License holder
- Andriani Ongkorahardjo
- Entity type
- Individual
Classifications
- Pediatric Minimal Sedation Permit Dental
More from the license record
- License type code
- 4418
- Related
- Ongkorahardjo Andriani (46120)
Other California licenses under this name
-
CA
ActiveDiamond Bar, CAExpires Nov 30, 2027
Contact
2881 Crystal Ridge Rd.
Diamond Bar, CA 91765
Diamond Bar, CA 91765
Los Angeles County