New Mexico
Regulation & Licensing Department
Charonda C. Clark, DA
Dental Assistant
License number
DA4778
Date granted
06/04/2013
Date expires
06/30/2015
Class
Dental Assistant
Status
Active
Address
Albuquerque, NM, 87109
licensingnm.com
ID 4324298
LAST UPDATED 2026-05-26 22:07:43 UTC
LAST UPDATED 2026-05-26 22:07:43 UTC
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