Phuong Tu Phan
ActiveCalifornia license 48596
License
- Licensed by
- Dental Board of California
- License number
- 48596
- Status
- Active (Current)
- First issued
- August 27, 1997
- Expires
- December 31, 2026
- License holder
- Phuong Tu Phan
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
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Contact
10035 Edgewood Lane
Garden Grove, CA 92840
Garden Grove, CA 92840
Orange County