Taya Taniya Hickman
ActiveCalifornia license 97276
License
- Licensed by
- Dental Board of California
- License number
- 97276
- Status
- Active (Current)
- First issued
- October 11, 2021
- Expires
- November 30, 2026
- License holder
- Taya Taniya Hickman
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
728 Eucalyptus Ave
Novato, CA 94947
Novato, CA 94947
Marin County