Adia Phyllis Linn Daniels Goodman
ActiveCalifornia license 84920
License
- Licensed by
- Dental Board of California
- License number
- 84920
- Status
- Active (Current)
- First issued
- September 1, 2015
- Expires
- February 28, 2027
- License holder
- Adia Phyllis Linn Daniels Goodman
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
3812 David Dr
North Highlands, CA 95660-4513
North Highlands, CA 95660-4513
Sacramento County