Tasha Gloria Dietz
ActiveCalifornia license 88220
License
- Licensed by
- Dental Board of California
- License number
- 88220
- Status
- Active (Current)
- First issued
- June 12, 2017
- Expires
- February 28, 2027
- License holder
- Tasha Gloria Dietz
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
150 Sunbeam Ave
Boulder Creek, CA 95006-9622
Boulder Creek, CA 95006-9622
Santa Cruz County