Samantha Erica Banzon Dela Rosa
ActiveCalifornia license 109078
License
- Licensed by
- Dental Board of California
- License number
- 109078
- Status
- Active (Current)
- First issued
- August 6, 2023
- Expires
- September 30, 2028
- License holder
- Samantha Erica Banzon Dela Rosa
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
184 Channi Loop
Danville, CA 94506-5025
Danville, CA 94506-5025
Contra Costa County