License Directory

Andriani Ongkorahardjo

Active

California 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

Contact

2881 Crystal Ridge Rd.
Diamond Bar, CA 91765
Los Angeles County