New Mexico
Regulation & Licensing Department
Shaundale LaDawn Bia, DA
Dental Assistant
License number
DA3921
Date granted
04/20/2010
Date expires
06/30/2015
Class
Dental Assistant
Status
Active
Address
Fort Defiance, AZ, 86504
licensingnm.com
ID 4320502
LAST UPDATED 2024-02-22 09:11:50 UTC
LAST UPDATED 2024-02-22 09:11:50 UTC
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