License holder summary

KUSUMO TJAHJADI ANDY is a Dental License licensed to practice in California. The address on file for KUSUMO TJAHJADI ANDY is 222 SOUTH EMERALD ST. ANAHEIM CA 92804. This licensed professional license is current. The license was granted 08/20/2002 and expired on 07/31/2017.

California

Department of Consumer Affairs

KUSUMO TJAHJADI ANDY
Dental License
License number
49917
Date granted
08/20/2002
Date expires
07/31/2017
Class
Dental License
Status
Current
Address
222 SOUTH EMERALD ST. ANAHEIM CA 92804
californialicensing.org
ID 19766430
LAST UPDATED 2026-06-06 15:02:14 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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