License holder summary

ONG GRACIAWATI SURJADHANA is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/10/1981 and expired on 11/30/2010.

Department of Consumer Affairs

Dental Board of California

ONG GRACIAWATI SURJADHANA
Registered Dental Assistant
License number
15454
Date granted
04/10/1981
Date expires
11/30/2010
Class
Registered Dental Assistant
Status
Delinquent
dentistscalifornia.org
ID 10919106
LAST UPDATED 2024-02-11 12:05:18 UTC

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