California
Department of Consumer Affairs
TIRTAWIDJAJA SANTOSA
Dental License
License number
38931
Date granted
10/29/1990
Date expires
02/28/2017
Class
Dental License
Status
Current
Address
1200 W MARTIN LUTHER KING LOS ANGELES CA 90037
californialicensing.org
ID 19784810
LAST UPDATED 2026-04-22 14:16:16 UTC
LAST UPDATED 2026-04-22 14:16:16 UTC
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