Theresa L Bagliere
ActiveCalifornia license 61611
License
- Licensed by
- Dental Board of California
- License number
- 61611
- Status
- Active (Current)
- First issued
- April 2, 2004
- Expires
- January 31, 2027
- License holder
- Theresa L Bagliere
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
6078 Monterey Hwy
105
San Jose, CA 95138-1731
105
San Jose, CA 95138-1731
Santa Clara County