Amy Chung Phorth
ActiveCalifornia license 100617
License
- Licensed by
- Dental Board of California
- License number
- 100617
- Status
- Active (Current)
- First issued
- August 2, 2016
- Expires
- November 30, 2028
- License holder
- Amy Chung Phorth
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2380 Montpelier Dr
Ste 200
San Jose, CA 95116-1620
Ste 200
San Jose, CA 95116-1620
Santa Clara County