Angelica Marie Deavila
ActiveCalifornia license 102368
License
- Licensed by
- Dental Board of California
- License number
- 102368
- Status
- Active (Current)
- First issued
- April 10, 2024
- Expires
- April 30, 2027
- License holder
- Angelica Marie Deavila
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
917 Shortland Cir
Manteca, CA 95337
Manteca, CA 95337
San Joaquin County