Noellette Phavana Tangtrongsakdi
ExpiredCalifornia license 39717
License
- Licensed by
- Dental Board of California
- License number
- 39717
- Status
- Expired (Delinquent)
- First issued
- August 2, 1991
- Expired
- July 31, 2025
- License holder
- Noellette Phavana Tangtrongsakdi
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
42 Laverne Ave
Mill Valley, CA 94941
Mill Valley, CA 94941
Marin County