License holder summary

SIVAVAJCHAIPONG ANDREA is a Dental License licensed to practice in California. The address on file for SIVAVAJCHAIPONG ANDREA is 1600 WEEOT WAY ARCATA CA 95521. This licensed professional license is current. The license was granted 09/11/2013 and expired on 10/31/2016.

California

Department of Consumer Affairs

SIVAVAJCHAIPONG ANDREA
Dental License
License number
62969
Date granted
09/11/2013
Date expires
10/31/2016
Class
Dental License
Status
Current
Address
1600 WEEOT WAY ARCATA CA 95521
californialicensing.org
ID 19767049
LAST UPDATED 2024-04-04 21:41:10 UTC

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