Thithi Cong Phan
ActiveCalifornia license 49393
License
- Licensed by
- Dental Board of California
- License number
- 49393
- Status
- Active (Current)
- First issued
- December 11, 2001
- Expires
- November 30, 2026
- License holder
- Thithi Cong Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
619 Lancashire Place
San Marcos, CA 92069
San Marcos, CA 92069
San Diego County