Teigen Brenna Wagner
ActiveCalifornia license 100262
License
- Licensed by
- Dental Board of California
- License number
- 100262
- Status
- Active (Current)
- First issued
- June 1, 2023
- Expires
- July 31, 2028
- License holder
- Teigen Brenna Wagner
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
706 Atkinson St
Roseville, CA 95678
Roseville, CA 95678
Placer County