License Directory

Tamika Chalise Southern-Mixon

Active

California license 464

License

Licensed by
Dental Board of California
License number
464
Status
Active (Current)
First issued
December 16, 1996
Expires
November 30, 2027
License holder
Tamika Chalise Southern-Mixon
Entity type
Individual

Classifications

  • RDA in Extended Functions Dental

More from the license record

License type code
4414

Other California licenses under this name

Contact

1226 Brooktrail Drive
Pittsburg, CA 94565
Contra Costa County