Tara Ann Stanworth
ActiveCalifornia license 58169
License
- Licensed by
- Dental Board of California
- License number
- 58169
- Status
- Active (Current)
- First issued
- November 16, 2001
- Expires
- April 30, 2027
- License holder
- Tara Ann Stanworth
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
700-325 Four Oaks Dr
Susanville, CA 96130-5749
Susanville, CA 96130-5749
Lassen County