Tiffany D Phonchanthasone

License

Licensed by

Dental Board of California

License number

85638

Status

Active (Current)

First issued

January 26, 2016

Expires

January 31, 2027

License holder

Tiffany D Phonchanthasone

Entity type

Individual

Classifications

• Registered Dental Assistant Dental

More from the license record

License type code

4413

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