Alfred Siao Siapno
ActiveCalifornia license 79071
License
- Licensed by
- Dental Board of California
- License number
- 79071
- Status
- Active (Current)
- First issued
- May 21, 2012
- Expires
- September 30, 2027
- License holder
- Alfred Siao Siapno
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
2864 Casey St #A
San Diego, CA 92139
San Diego, CA 92139
San Diego County