Professional Records
License Records
Antonia W. Tedjobuwono
License #:
15164 - Active
Issued Date:
Apr 30, 2018
Effective Date:
Aug 3, 2007
Type:
Registered Dental Assistant
Antonia W. Tedjobuwono
License #:
60625 - Active
Issued Date:
Dec 31, 2017
Effective Date:
Jun 10, 2013
Type:
Sealant Dental Assistant
Antonia W. Tedjobuwono
License #:
60818 - Active
Effective Date:
Jun 24, 2013
Type:
Coronal Dental Assistant