
Dental Board of California
Licensing details for: 404
Name: SURYAWALA, URVA
License Type: Pediatric Minimal Sedation Permit
Primary Status: Current - Active
License Relationships
PMS to DDS or OMS or SP
License/Registration Role: Pediatric Minimal Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SURYAWALA, URVA
License/Registration Type: Dentist License
License Number: 107035 Primary Status: Current - Active
Address :
11834 GREENBRIER LANE
GRAND TERRACE CA 92313
SAN BERNARDINO COUNTY