Renz Anthony Tan Antonio
ActiveCalifornia license 103836
License
- Licensed by
- Dental Board of California
- License number
- 103836
- Status
- Active (Current)
- First issued
- June 21, 2019
- Expires
- June 30, 2028
- License holder
- Renz Anthony Tan Antonio
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
70 Empire Ct
Mountain View, CA 94040-1591
Mountain View, CA 94040-1591
Santa Clara County