Phuc Cong Tran
ActiveCalifornia license 103962
License
- Licensed by
- Dental Board of California
- License number
- 103962
- Status
- Active (Current)
- First issued
- July 9, 2019
- Expires
- August 31, 2027
- License holder
- Phuc Cong Tran
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
45 Hazel St
Willits, CA 95490-4222
Willits, CA 95490-4222
Mendocino County