Theodora Triphon
ActiveCalifornia license 104188
License
- Licensed by
- Dental Board of California
- License number
- 104188
- Status
- Active (Current)
- First issued
- July 29, 2019
- Expires
- January 31, 2028
- License holder
- Theodora Triphon
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
160 Autumn Way
Rancho Mission Viejo, CA 92694-1915
Rancho Mission Viejo, CA 92694-1915
Orange County