Michael Derek Wong
InactiveCalifornia license 43100
License
- Licensed by
- Dental Board of California
- License number
- 43100
- Status
- Inactive (CurrentInactive)
- First issued
- August 3, 1995
- Expires
- May 31, 2027
- License holder
- Michael Derek Wong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1119 Alomar Way
Belmont, CA 94002-3601
Belmont, CA 94002-3601
San Mateo County