Bang Tai Phan
ExpiredCalifornia license 46927
License
- Licensed by
- Dental Board of California
- License number
- 46927
- Status
- Expired (Delinquent)
- First issued
- November 12, 1999
- Expired
- July 31, 2025
- License holder
- Bang Tai Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
22605 Lenope Pl
Chatsworth, CA 91311-8615
Chatsworth, CA 91311-8615
Los Angeles County