Pacific Dental Group, Clark L. Fong, Dds, A Professional Dental C
ActiveCalifornia 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
San Rafael, CA 94901
Marin County