Venetian Family Dental Practice, Jeffrey Phen Dds A Dental Corpor
ActiveCalifornia license 12119
License
- Licensed by
- Dental Board of California
- License number
- 12119
- Status
- Active (Current)
- First issued
- May 8, 2015
- Expires
- July 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Phen Jeffrey (44988)
Contact
850 W. March Lane, Suite B
Stockton, CA 95207
Stockton, CA 95207
San Joaquin County