California
Department of Consumer Affairs
SIADATIE SEYEDEH TISANAZ
Dental License
License number
55338
Date granted
12/01/2006
Date expires
08/31/2017
Class
Dental License
Status
Current
Address
11901 SANTA MONICA BLVD #623 LOS ANGELES CA 90025
californialicensing.org
ID 19784639
LAST UPDATED 2026-07-02 18:26:30 UTC
LAST UPDATED 2026-07-02 18:26:30 UTC
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