Samantha Keith De Leon Tillapaugh
ActiveCalifornia license 100732
License
- Licensed by
- Dental Board of California
- License number
- 100732
- Status
- Active (Current)
- First issued
- August 17, 2016
- Expires
- June 30, 2027
- License holder
- Samantha Keith De Leon Tillapaugh
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
953 Longhorn Way
Rancho Mission Viejo, CA 92694-1674
Rancho Mission Viejo, CA 92694-1674
Orange County