Alison Thuy Tien Ngoc Phan
ActiveCalifornia license 108415
License
- Licensed by
- Dental Board of California
- License number
- 108415
- Status
- Active (Current)
- First issued
- December 8, 2022
- Expires
- March 31, 2028
- License holder
- Alison Thuy Tien Ngoc Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1804 N Lima St
Burbank, CA 91505-1526
Burbank, CA 91505-1526