Tanja Karin Fanslow
ActiveCalifornia license 79139
License
- Licensed by
- Dental Board of California
- License number
- 79139
- Status
- Active (Current)
- First issued
- June 6, 2012
- Expires
- October 31, 2027
- License holder
- Tanja Karin Fanslow
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
100 Branham Ln E Apt 2202
San Jose, CA 95111-3874
San Jose, CA 95111-3874
Santa Clara County