Jennifer Alicia Fong
ActiveCalifornia license 54833
License
- Licensed by
- Dental Board of California
- License number
- 54833
- Status
- Active (Current)
- First issued
- August 21, 2006
- Expires
- July 31, 2027
- License holder
- Jennifer Alicia Fong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1670 Clairmont Rd
Attn: VACC
Decatur, GA 30033-4004
Attn: VACC
Decatur, GA 30033-4004
De Kalb County