Shan Gong
ActiveCalifornia license 101693
License
- Licensed by
- Dental Board of California
- License number
- 101693
- Status
- Active (Current)
- First issued
- July 26, 2017
- Expires
- November 30, 2027
- License holder
- Shan Gong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4012 Trenton Ave
Clovis, CA 93619-5065
Clovis, CA 93619-5065
Fresno County