Jason Thai Phan
ActiveCalifornia license 58635
License
- Licensed by
- Dental Board of California
- License number
- 58635
- Status
- Active (Current)
- First issued
- August 6, 2009
- Expires
- August 31, 2028
- License holder
- Jason Thai Phan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
23451 Madison St.
Ste 210
Torrance, CA 90505
Ste 210
Torrance, CA 90505
Los Angeles County