Nathan Dean Tully
ActiveCalifornia license 103704
License
- Licensed by
- Dental Board of California
- License number
- 103704
- Status
- Active (Current)
- First issued
- May 23, 2019
- Expires
- December 31, 2027
- License holder
- Nathan Dean Tully
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2951 Reynolds Ranch Pkwy
A-304
Lodi, CA 95240-6854
A-304
Lodi, CA 95240-6854
San Joaquin County