License Directory

Theresa Anne Ta

Active

California license 102964

License

Licensed by
Dental Board of California
License number
102964
Status
Active (Current)
First issued
July 31, 2018
Expires
September 30, 2027
License holder
Theresa Anne Ta
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

212 Terraine St
San Jose, CA 95110-2558
Santa Clara County