Tiana Faith Blake
ActiveCalifornia license 101837
License
- Licensed by
- Dental Board of California
- License number
- 101837
- Status
- Active (Current)
- First issued
- January 13, 2024
- Expires
- November 30, 2027
- License holder
- Tiana Faith Blake
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
8842 Winding Way
546
Fair Oaks, CA 95628-6462
546
Fair Oaks, CA 95628-6462
Sacramento County