California
Department of Consumer Affairs
HATLAVONGSA KONGSAB LA
Dental License
License number
61581
Date granted
07/24/2012
Date expires
02/29/2016
Class
Dental License
Status
Current
Address
1716 WHITEASH AVENUE CLOVIS CA 93619
californialicensing.org
ID 19776057
LAST UPDATED 2024-05-17 22:10:57 UTC
LAST UPDATED 2024-05-17 22:10:57 UTC
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