Jason Ryan Gong
ActiveCalifornia license 104405
License
- Licensed by
- Dental Board of California
- License number
- 104405
- Status
- Active (Current)
- First issued
- September 7, 2019
- Expires
- September 30, 2028
- License holder
- Jason Ryan Gong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2325 Palos Verdes Dr W
Suite #210
Palos Verdes Estates, CA 90274-2751
Suite #210
Palos Verdes Estates, CA 90274-2751
Los Angeles County