Phyllis Formosana Chen
ActiveCalifornia license 46570
License
- Licensed by
- Dental Board of California
- License number
- 46570
- Status
- Active (Current)
- First issued
- September 15, 1999
- Expires
- March 31, 2028
- License holder
- Phyllis Formosana Chen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1794 San Jose Avenue
San Francisco, CA 94112
San Francisco, CA 94112
San Francisco County