Diane Phan
InactiveCalifornia license 47410
License
- Licensed by
- Dental Board of California
- License number
- 47410
- Status
- Inactive (CurrentInactive)
- First issued
- August 7, 2000
- Expires
- February 28, 2027
- License holder
- Diane Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
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Contact
14372 Shady Hollow Ln
Chino Hills, CA 91709
Chino Hills, CA 91709
San Bernardino County