Alisa Diane Goddard
ActiveCalifornia license 35546
License
- Licensed by
- Dental Board of California
- License number
- 35546
- Status
- Active (Current)
- First issued
- November 1, 1991
- Expires
- January 31, 2028
- License holder
- Alisa Diane Goddard
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
925 W Bonita Space 59
Glendora, CA 91740
Glendora, CA 91740
Los Angeles County