Stephen Takashi Gong Wat
ActiveCalifornia license 1532
License
- Licensed by
- Dental Board of California
- License number
- 1532
- Status
- Active (Current)
- First issued
- June 30, 2010
- Expires
- September 30, 2028
- License holder
- Stephen Takashi Gong Wat
- Entity type
- Individual
Classifications
- General Anesthesia Permit Other Health Care
More from the license record
- License type code
- 4403
- Related
- Wat Stephen (54677)
Other California licenses under this name
-
CA
ActiveFremont, CAExpires Sep 30, 2028
Contact
38149 Martha Ave
Fremont, CA 94536-3800
Fremont, CA 94536-3800
Alameda County