Derik Quan Pham
ActiveCalifornia license 105165
License
- Licensed by
- Dental Board of California
- License number
- 105165
- Status
- Active (Current)
- First issued
- August 3, 2020
- Expires
- April 30, 2028
- License holder
- Derik Quan Pham
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1467 N Wanda Rd Ste 155
Orange, CA 92867-5328
Orange, CA 92867-5328
Orange County