New Mexico
Regulation & Licensing Department
Tiffany Flack, DA
Dental Assistant
License number
DA1288
Date granted
09/15/1995
Date expires
06/30/2005
Class
Dental Assistant
Status
Revoked
licensingnm.com
ID 4328533
LAST UPDATED 2026-04-06 21:32:40 UTC
LAST UPDATED 2026-04-06 21:32:40 UTC
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