Maristela Grace Derpo Tan
ActiveCalifornia license 50829
License
- Licensed by
- Dental Board of California
- License number
- 50829
- Status
- Active (Current)
- First issued
- October 21, 2003
- Expires
- March 31, 2027
- License holder
- Maristela Grace Derpo Tan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1119 E Monte Vista Ave
Vacaville, CA 95688-3009
Vacaville, CA 95688-3009
Solano County