Alyssa Alize Blaine-Bracamontes
ActiveCalifornia license 105962
License
- Licensed by
- Dental Board of California
- License number
- 105962
- Status
- Active (Current)
- First issued
- November 10, 2025
- Expires
- September 30, 2027
- License holder
- Alyssa Alize Blaine-Bracamontes
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
1417 Nut Tree Rd 2
Livingston, CA 95334
Livingston, CA 95334
Merced County