Dental Board of California
Licensing details for: 9703
Name: DR. ANDRIANI ONGKORAHARDJO, DDS, INC.
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: ANDRIANI ONGKORAHARDJO
Address of Record
99 N. LA CIENEGA BLVD.
STE. 308
BEVERLY HILLS CA 90211
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: ONGKORAHARDJO, ANDRIANI
License/Registration Type: Dentist License
License Number: 46120 Primary Status: Current - Active
Address :
660 N Diamond Bar Blvd
Suite 288
DIAMOND BAR CA 91765-1008
LOS ANGELES COUNTY
