Mikhai Cong Ta
ActiveCalifornia license 102306
License
- Licensed by
- Dental Board of California
- License number
- 102306
- Status
- Active (Current)
- First issued
- February 28, 2018
- Expires
- November 30, 2027
- License holder
- Mikhai Cong Ta
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3417 E Via Montiano Ave
Clovis, CA 93619-8737
Clovis, CA 93619-8737
Fresno County