Alexis Edin Fullingim
ActiveCalifornia license 102327
License
- Licensed by
- Dental Board of California
- License number
- 102327
- Status
- Active (Current)
- First issued
- April 9, 2024
- Expires
- July 31, 2027
- License holder
- Alexis Edin Fullingim
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
560 E Thurman Ave
Porterville, CA 93257
Porterville, CA 93257
Tulare County