Dental Board of California
Licensing details for: 4073
Name: CAYCO-TANGCO, MIRABEL H
License Type: Oral Conscious Sedation
Primary Status: Expired
Specialty: Adult
Address of Record
1591 Farmers Ln
SANTA ROSA CA 95405-7525
SONOMA county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: CAYCO-TANGCO, MIRABEL H
License/Registration Type: Dentist License
License Number: 54421 Primary Status: Current - Active
Address Not Disclosed
