Tiara Danielle Gantt
ActiveCalifornia license 100121
License
- Licensed by
- Dental Board of California
- License number
- 100121
- Status
- Active (Current)
- First issued
- May 12, 2023
- Expires
- March 31, 2027
- License holder
- Tiara Danielle Gantt
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
9029 Don Ave
Stockton, CA 95209
Stockton, CA 95209
San Joaquin County