California
Department of Consumer Affairs
SHIVANNA SOUMYA
Dental License
License number
55657
Date granted
05/02/2007
Date expires
10/31/2016
Class
Dental License
Status
Current
Address
1620 EAST CAPITOL EXPRESSWAY STE G SAN JOSE CA 95121
californialicensing.org
ID 19800102
LAST UPDATED 2026-06-20 16:02:46 UTC
LAST UPDATED 2026-06-20 16:02:46 UTC
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