Jong Tae Song
InactiveCalifornia license 62753
License
- Licensed by
- Dental Board of California
- License number
- 62753
- Status
- Inactive (CurrentInactive)
- First issued
- August 5, 2013
- Expires
- January 31, 2027
- License holder
- Jong Tae Song
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4861 Elkridge Dr
Rancho Palos Verdes, CA 90275-3903
Rancho Palos Verdes, CA 90275-3903
Los Angeles County