Jason Matthew Phen
ActiveCalifornia license 110360
License
- Licensed by
- Dental Board of California
- License number
- 110360
- Status
- Active (Current)
- First issued
- July 24, 2024
- Expires
- February 29, 2028
- License holder
- Jason Matthew Phen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
688 Cabra St
Lincoln, CA 95648-8841
Lincoln, CA 95648-8841