TARA VATTADI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032705

License Status

NOT RENEWED

Business

Title

DDS

First Name

TARA

Last Name

VATTADI

Business Name

TARA VATTADI DDS

Original Issue Date

06/15/2020

Effective Date

06/15/2020

Expiration Date

01/31/2022

City

SCOTTS VALLEY

State

Zip

95060

Ever Disciplined

LastModifiedDate

05/09/2022