Dental Board of California
Licensing details for: 102890
Name: CLARK, ANTHONY AARON
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
535 N Akers St
VISALIA CA 93291-5173
TULARE county
Map
License Relationships
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: CLARK, ANTHONY AARON
License/Registration Type: Moderate Sedation Permit
License Number: 504 Primary Status: Current - Active
Address :
535 N. AKERS ST.
VISALIA CA 93291
TULARE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: CLARK, ANTHONY AARON
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4107 Primary Status: Expired
Address :
535 S Akers St
VISALIA CA 93291
TULARE COUNTY
