Hien Xuan Ta
ActiveCalifornia license 107320
License
- Licensed by
- Dental Board of California
- License number
- 107320
- Status
- Active (Current)
- First issued
- February 14, 2022
- Expires
- September 30, 2027
- License holder
- Hien Xuan Ta
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
9071 La Colonia Ave
Fountain Valley, CA 92708-2718
Fountain Valley, CA 92708-2718
Orange County