Rickey Lance Fong
ActiveCalifornia license 36753
License
- Licensed by
- Dental Board of California
- License number
- 36753
- Status
- Active (Current)
- First issued
- July 21, 1988
- Expires
- September 30, 2027
- License holder
- Rickey Lance Fong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
621 E Campbell Ave
Suite 4
Campbell, CA 95008
Suite 4
Campbell, CA 95008
Santa Clara County