Aiyasara Kittivatana
ActiveCalifornia license 35693
License
- Licensed by
- Dental Board of California
- License number
- 35693
- Status
- Active (Current)
- First issued
- November 1, 1991
- Expires
- March 31, 2027
- License holder
- Aiyasara Kittivatana
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
3505 Pasadena Drive
San Mateo, CA 94403
San Mateo, CA 94403
San Mateo County