Adam Takeo Ellenthal

License

Licensed by

Dental Board of California

License number

417

Status

Active (Current)

First issued

June 27, 2025

Expires

April 30, 2028

License holder

Adam Takeo Ellenthal

Entity type

Individual

Classifications

• Pediatric Minimal Sedation Permit Dental

More from the license record

License type code

4418

Related

Ellenthal Adam (111647)

Other California licenses under this name

• CA
  Adam Takeo Ellenthal

  License 111647

  Dental License
  Active

  San Diego, CA

  Expires Apr 30, 2028

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