License Directory

Pacific Dental Group, Clark L. Fong, Dds, A Professional Dental C

Active

California license 10219

License

Licensed by
Dental Board of California
License number
10219
Status
Active (Current)
First issued
December 7, 2012
Expired
October 31, 2026
Entity type
Organization

Classifications

  • Fictitious Name Permit Dental

More from the license record

License type code
4412
Related
Fong Clark (40351)

Contact

1523 5th Avenue
San Rafael, CA 94901
Marin County