California
Department of Consumer Affairs
FONG SAMUEL S F
Dental License
License number
28548
Date granted
10/16/1979
Date expires
10/31/2011
Class
Dental License
Status
DELINQUENT, SELF EMPLOYED AT 1 LOCATION
Address
902 CLEMENT STE A SAN FRANCISCO CA 94121
californialicensing.org
ID 19797701
LAST UPDATED 2024-04-25 22:58:55 UTC
LAST UPDATED 2024-04-25 22:58:55 UTC
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