Thomas Warthen Douglass
ActiveCalifornia license 65057
License
- Licensed by
- Dental Board of California
- License number
- 65057
- Status
- Active (Current)
- First issued
- August 27, 2015
- Expires
- September 30, 2027
- License holder
- Thomas Warthen Douglass
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
652 Petaluma Avenue
Suite A
Sebastopol, CA 95472
Suite A
Sebastopol, CA 95472
Sonoma County