Dental Hygiene Board of California
Licensing details for: 140
Name: FILLMORE, KANDYCE ANN
License Type: RDH Alternative Practice
Primary Status: Current - Active
Address not disclosed
License Relationships
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Registered Dental Hygienist Alternative Practice
Related Party Role: Dentist
Name: SHAH, SAMIR KISHORE
License/Registration Type: Dentist License
License Number: 63137 Primary Status: Current - Active
Address :
21001 SHERMAN WY
STE 13
CANOGA PARK CA 91303
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Registered Dental Hygienist
License/Registration Role: Registered Dental Hygienist Alternative Practice
Related Party Role: Registered Dental Hygienist
Name: FILLMORE, KANDYCE ANN
License/Registration Type: Registered Dental Hygienist
License Number: 20878 Primary Status: Current - Active
Address Not Disclosed
