Quy-Phung Thi Phan
ActiveCalifornia license 50090
License
- Licensed by
- Dental Board of California
- License number
- 50090
- Status
- Active (Current)
- First issued
- August 5, 2002
- Expires
- May 31, 2027
- License holder
- Quy-Phung Thi Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
19520 E Mira Loma Wy
Walnut, CA 91789
Walnut, CA 91789
Los Angeles County