Amy Enrica Banuelos
ActiveCalifornia license 59481
License
- Licensed by
- Dental Board of California
- License number
- 59481
- Status
- Active (Current)
- First issued
- September 17, 2002
- Expires
- August 31, 2028
- License holder
- Amy Enrica Banuelos
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
3925 Davis Ct
Eureka, CA 95503-6085
Eureka, CA 95503-6085
Humboldt County