Annie N Khommarath
ActiveCalifornia license 79331
License
- Licensed by
- Dental Board of California
- License number
- 79331
- Status
- Active (Current)
- First issued
- July 30, 2012
- Expires
- May 31, 2028
- License holder
- Annie N Khommarath
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
1846 Amargosa Dr
Palmdale, CA 93551-5114
Palmdale, CA 93551-5114
Los Angeles County