Tamika Chalise Southern-Mixon
ActiveCalifornia 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
-
CA
ActivePittsburg, CAExpires Dec 31, 2027
Contact
1226 Brooktrail Drive
Pittsburg, CA 94565
Pittsburg, CA 94565
Contra Costa County