Tyson Phan
ActiveCalifornia license 36665
License
- Licensed by
- Dental Board of California
- License number
- 36665
- Status
- Active (Current)
- First issued
- January 2, 2022
- Expires
- October 31, 2027
- License holder
- Tyson Phan
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
Other California licenses under this name
-
CA
ExpiredSacramento, CAExpired Oct 31, 2023
Contact
9215 Wenlock Ct
Sacramento, CA 95829-1566
Sacramento, CA 95829-1566
Sacramento County