Dental Board of California
Licensing details for: 618
Name: SREENIVASAN, DEEPA SUSEEL
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
8540 S SEPULVEDA SUITE 710
LOS ANGELES CA 90045
LOS ANGELES county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SREENIVASAN, DEEPA SUSEEL
License/Registration Type: Dentist License
License Number: 50990 Primary Status: Current - Active
Address :
8540 S. SEPULVEDA
SUITE 710
LOS ANGELES CA 90045
LOS ANGELES COUNTY
