Marissa Baula Tayag
ActiveCalifornia license 40028
License
- Licensed by
- Dental Board of California
- License number
- 40028
- Status
- Active (Current)
- First issued
- April 30, 1992
- Expires
- September 30, 2028
- License holder
- Marissa Baula Tayag
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12222 Poway Rd
Suite 6
Poway, CA 92064-4220
Suite 6
Poway, CA 92064-4220
San Diego County