Dental Board of California
Licensing details for: 107035
Name: SURYAWALA, URVA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
11834 GREENBRIER LANE
GRAND TERRACE CA 92313
SAN BERNARDINO county
Map
License Relationships
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: SURYAWALA, URVA
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 404 Primary Status: Current - Active
Address :
18564 OUTER HWY 18 N #301
APPLE VALLEY CA 92307
SAN BERNARDINO COUNTY
