Tahani Justine Marie Lewis
ActiveCalifornia license 100179
License
- Licensed by
- Dental Board of California
- License number
- 100179
- Status
- Active (Current)
- First issued
- May 16, 2023
- Expires
- March 31, 2027
- License holder
- Tahani Justine Marie Lewis
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
20159 Highway 76
Pauma Valley, CA 92061
Pauma Valley, CA 92061
San Diego County