Phuc Quang Nguyen
ActiveCalifornia license 104196
License
- Licensed by
- Dental Board of California
- License number
- 104196
- Status
- Active (Current)
- First issued
- July 31, 2019
- Expires
- December 31, 2027
- License holder
- Phuc Quang Nguyen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Other California licenses under this name
-
CA
ActiveExpires Apr 30, 2028
Contact
21915 Birds Eye Dr
Diamond Bar, CA 91765-3926
Diamond Bar, CA 91765-3926
Los Angeles County