Tricia Louise Bloom
ActiveCalifornia license 712
License
- Licensed by
- Dental Board of California
- License number
- 712
- Status
- Active (Current)
- First issued
- May 18, 2000
- Expires
- July 31, 2027
- License holder
- Tricia Louise Bloom
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
- Related
- Bloom Tricia (43747)
Contact
5313 Manzanita Ave Apt 3
Carmichael, CA 95608-0548
Carmichael, CA 95608-0548
Sacramento County