Anastacia Michelle Whitman
ActiveCalifornia license 112308
License
- Licensed by
- Dental Board of California
- License number
- 112308
- Status
- Active (Current)
- First issued
- August 26, 2025
- Expires
- April 30, 2028
- License holder
- Anastacia Michelle Whitman
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
11370 S Riverside Dr
Portland, OR 97219-8437
Portland, OR 97219-8437