Samantha Katherine Deridder
ActiveCalifornia license 107758
License
- Licensed by
- Dental Board of California
- License number
- 107758
- Status
- Active (Current)
- First issued
- August 10, 2022
- Expires
- July 31, 2027
- License holder
- Samantha Katherine Deridder
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
216 S Pine St
Nevada City, CA 95959-2720
Nevada City, CA 95959-2720
Nevada County