Daniel Shigeru Tanita
ExpiredCalifornia license 23569
License
- Licensed by
- Dental Board of California
- License number
- 23569
- Status
- Expired (Delinquent)
- First issued
- January 1, 1973
- Expired
- April 30, 2022
- License holder
- Daniel Shigeru Tanita
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
29 Oak Ave
San Anselmo, CA 94960-2726
San Anselmo, CA 94960-2726
Marin County