Alan Shinichi Tanisawa
ActiveCalifornia license 25056
License
- Licensed by
- Dental Board of California
- License number
- 25056
- Status
- Active (Current)
- First issued
- June 20, 1975
- Expires
- December 31, 2026
- License holder
- Alan Shinichi Tanisawa
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
22408 Charlene Wy
Castro Valley, CA 94546
Castro Valley, CA 94546
Alameda County