Theresa Anne Ta
ActiveCalifornia 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
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
212 Terraine St
San Jose, CA 95110-2558
San Jose, CA 95110-2558
Santa Clara County