California
Department of Consumer Affairs
KATHLEEN TAVAREZ, DDS MS
Dental - Registered Provider
License number
4436
Date granted
06/29/2006
Date expires
06/30/2012
Class
Dental - Registered Provider
Status
Delinquent
Address
MENLO PARK
californialicensing.org
ID 19812706
LAST UPDATED 2024-03-17 04:11:53 UTC
LAST UPDATED 2024-03-17 04:11:53 UTC
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