California
Department of Consumer Affairs
IAMSUREY PRASONG
Dental License
License number
34119
Date granted
09/23/1985
Date expires
01/31/2017
Class
Dental License
Status
Current
Address
4150 MAIN STREET KELSEYVILLE CA 95451-0514
californialicensing.org
ID 19779720
LAST UPDATED 2026-07-01 19:16:57 UTC
LAST UPDATED 2026-07-01 19:16:57 UTC
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