License Directory

Venetian Square Family Dental Practice, Jeffrey Phen Dds A Dental

Active

California license 12120

License

Licensed by
Dental Board of California
License number
12120
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, #B
Stockton, CA 95207
San Joaquin County