Blong Roger Ly
ActiveCalifornia license 51106
License
- Licensed by
- Dental Board of California
- License number
- 51106
- Status
- Active (Current)
- First issued
- July 1, 2003
- Expires
- February 28, 2027
- License holder
- Blong Roger Ly
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
P.O. Box 582533
Elk Grove, CA 95758
Elk Grove, CA 95758
San Joaquin County