Lexann Smile Dental Practice of Hai Phan, Dds, Inc.
ExpiredCalifornia license 10546
License
- Licensed by
- Dental Board of California
- License number
- 10546
- Status
- Expired (Delinquent)
- First issued
- June 20, 2013
- Expired
- May 31, 2022
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Phan Hai (46671)
Contact
1569 Lexann Avenue, Ste. 108
San Jose, CA 95121
San Jose, CA 95121
Santa Clara County