FONG WONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026469

License Status

ACTIVE

Business

First Name

FONG

Last Name

WONG

Suffix

DDS

Business Name

FONG WONG DDS

Original Issue Date

06/22/2004

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

MADISON

State

Zip

53744

Ever Disciplined

LastModifiedDate

08/05/2024