Amanda Michelle Householder
ActiveCalifornia license 36220
License
- Licensed by
- Dental Board of California
- License number
- 36220
- Status
- Active (Current)
- First issued
- May 8, 2018
- Expires
- October 31, 2028
- License holder
- Amanda Michelle Householder
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
Contact
2148 Colusa St
Corning, CA 96021
Corning, CA 96021
Tehama County