Glen A Tistaert
ActiveCalifornia license 18421
License
- Licensed by
- Dental Board of California
- License number
- 18421
- Status
- Active (Current)
- First issued
- January 1, 1965
- Expires
- January 31, 2027
- License holder
- Glen A Tistaert
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2648 34th St
Santa Monica, CA 90405
Santa Monica, CA 90405
Los Angeles County