Vong Thatsana
ActiveCalifornia license 78994
License
- Licensed by
- Dental Board of California
- License number
- 78994
- Status
- Active (Current)
- First issued
- May 4, 2012
- Expires
- March 31, 2028
- License holder
- Vong Thatsana
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
1507 W Willow St
Stockton, CA 95203-1537
Stockton, CA 95203-1537
San Joaquin County