Adam Tanner Clark
ActiveCalifornia license 1547
License
- Licensed by
- Dental Board of California
- License number
- 1547
- Status
- Active (Current)
- First issued
- September 29, 2010
- Expires
- August 31, 2028
- License holder
- Adam Tanner Clark
- Entity type
- Individual
Classifications
- General Anesthesia Permit Other Health Care
More from the license record
- License type code
- 4403
- Related
- Clark Adam (55257)
Other California licenses under this name
-
CA
ActiveMission Viejo, CAExpires Aug 31, 2028
Contact
26302 La Paz Road
Suite 102
Mission Viejo, CA 92691
Suite 102
Mission Viejo, CA 92691
Orange County