Yae Sam Song
InactiveCalifornia license 104340
License
- Licensed by
- Dental Board of California
- License number
- 104340
- Status
- Inactive (CurrentInactive)
- First issued
- August 19, 2019
- Expires
- November 30, 2027
- License holder
- Yae Sam Song
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
555 W 38th St
Apt 1104
New York, NY 10018-1662
Apt 1104
New York, NY 10018-1662
New York County