Kyle Chisato Tanaka
InactiveCalifornia license 36619
License
- Licensed by
- Dental Board of California
- License number
- 36619
- Status
- Inactive (CurrentInactive)
- First issued
- April 7, 1988
- Expires
- November 30, 2027
- License holder
- Kyle Chisato Tanaka
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
922 209th Street SE
Bothell, WA 98021
Bothell, WA 98021
Snohomish County