California
Department of Consumer Affairs
TAN FANI NATAPRADJA
Dental License
License number
31342
Date granted
05/12/1983
Date expires
01/31/2001
Class
Dental License
Status
Canceled
Address
1819 LEXINGTON DRIVE FULLERTON CA 92635
californialicensing.org
ID 19776613
LAST UPDATED 2026-05-01 14:02:57 UTC
LAST UPDATED 2026-05-01 14:02:57 UTC
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