Tanijha Ashanti Kilpatrick
ActiveCalifornia license 104335
License
- Licensed by
- Dental Board of California
- License number
- 104335
- Status
- Active (Current)
- First issued
- January 26, 2025
- Expires
- April 30, 2028
- License holder
- Tanijha Ashanti Kilpatrick
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
9335 Westeria St
Bloomington, CA 92316
Bloomington, CA 92316
San Bernardino County