Brian Vongchanphen
InactiveCalifornia license 62912
License
- Licensed by
- Dental Board of California
- License number
- 62912
- Status
- Inactive (CurrentInactive)
- First issued
- August 28, 2013
- Expires
- July 31, 2028
- License holder
- Brian Vongchanphen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
59-072 Kumupali Rd
Haleiwa, HI 96712-9667
Haleiwa, HI 96712-9667
Honolulu County