Family Dental Care, Prasong Iamsurey, Dds
ActiveCalifornia license 1141
License
- Licensed by
- Dental Board of California
- License number
- 1141
- Status
- Active (Current)
- First issued
- August 14, 1995
- Expires
- January 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Iamsurey Prasong (34119)
Contact
4150 Main Street
Kelseyville, CA 95451
Kelseyville, CA 95451
Lake County