Theresa Lynne Poland
ActiveCalifornia license 1597
License
- Licensed by
- Dental Board of California
- License number
- 1597
- Status
- Active (Current)
- First issued
- January 24, 2012
- Expires
- June 30, 2028
- License holder
- Theresa Lynne Poland
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
- Related
- Poland Theresa (58612)
Contact
847 S Shore Dr
South Lake Tahoe, CA 96150-4219
South Lake Tahoe, CA 96150-4219
El Dorado County