Tarchya Phuong-Thao Phan
ActiveCalifornia license 42398
License
- Licensed by
- Dental Board of California
- License number
- 42398
- Status
- Active (Current)
- First issued
- October 19, 1994
- Expires
- October 31, 2028
- License holder
- Tarchya Phuong-Thao Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
PO Box 78603
Corona, CA 92877-0153
Corona, CA 92877-0153
Riverside County