Ivy Lai Chong Wong
InactiveCalifornia license 22699
License
- Licensed by
- Dental Board of California
- License number
- 22699
- Status
- Inactive (CurrentInactive)
- First issued
- January 1, 1972
- Expires
- December 31, 2027
- License holder
- Ivy Lai Chong Wong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1637 Lombard Street
San Francisco, CA 94123
San Francisco, CA 94123
San Francisco County