License holder summary

AMBATA NARISSA BAWALAN is a Dental License licensed to practice in California. The address on file for AMBATA NARISSA BAWALAN is 4509 SLAUSON AVE MAYWOOD CA 90270. This licensed professional license is current. The license was granted 12/22/2011 and expired on 03/31/2017.

California

Department of Consumer Affairs

AMBATA NARISSA BAWALAN
Dental License
License number
61070
Date granted
12/22/2011
Date expires
03/31/2017
Class
Dental License
Status
Current
Address
4509 SLAUSON AVE MAYWOOD CA 90270
californialicensing.org
ID 19785665
LAST UPDATED 2024-04-09 01:06:40 UTC

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