Garrison Tyler Dephillips
ActiveCalifornia license 104105
License
- Licensed by
- Dental Board of California
- License number
- 104105
- Status
- Active (Current)
- First issued
- July 22, 2019
- Expires
- January 31, 2027
- License holder
- Garrison Tyler Dephillips
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4343 26th Street
San Francisco, CA 94131
San Francisco, CA 94131
San Francisco County