Dental Board of California
Licensing details for: 103577
Name: PHAM, DERICK UY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Previous Names: PHAM, DERICK
Address of Record
13431 Mitchell Ave
GARDEN GROVE CA 92843-2527
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: INLAND DENTAL GROUP, PRACTICE OF PHAM VO DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 18777 Primary Status: Current - Active
Address :
1131 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: INLAND DENTAL GROUP, PRACTICE OF PHAM VO DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 18777 Primary Status: Current - Active
Address :
1131 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES COUNTY
