Richard Wilson Lengkong
ActiveCalifornia license 112590
License
- Licensed by
- Dental Board of California
- License number
- 112590
- Status
- Active (Current)
- First issued
- December 18, 2025
- Expires
- May 31, 2028
- License holder
- Richard Wilson Lengkong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
10142 Andasol Ave
Northridge, CA 91325-1503
Northridge, CA 91325-1503