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Tabita Katrina Forrest

Active

Michigan license 2902014822

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902014822
Status
Active
First issued
April 19, 2007
Expires
April 19, 2029
License holder
Tabita Katrina Forrest
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

More from the license record

Specialties
Local Anesthesia,Nitrous Oxide

Contact

16836 Edmore Drive
Detroit, MI 48205
Wayne County