Dental Board of California
Licensing details for: 43483
Name: PHAM, TAYLOR THANH
License Type: Dentist
Primary Status: Current - Active
Previous Names: PHAM, THANH THUY THI
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: PHAM & CAO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8242 Primary Status: Cancelled
Address :
2407 ATLANTIC AVE
LONG BEACH CA 90806
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: TAYLOR PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80831 Primary Status: Current - Active
Address :
15310 GOLDENWEST ST.,
WESTMINSTER CA 92683
ORANGE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: TAYLOR THANH PHAM, DDS
License/Registration Type: Additional Office Permit
License Number: 11228 Primary Status: Current - Active
Address :
15310 GOLDENWEST STREET
WESTMINSTER CA 92683
ORANGE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: PHAM & CAO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8267 Primary Status: Cancelled
Address :
249 E BEVERLY BLD
MONTEBELLO CA 90640
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: PHAM & CAO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8231 Primary Status: Cancelled
Address :
2407 ATLANTIC AVE
LONG BEACH CA 90806
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: TAYLOR T. PHAM, A PROFESSIONAL CORPORATION DBA: LA PALMA DENTAL CARE, DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 16371 Primary Status: Expired
Address :
7881 VALLEY VIEW ST.
LA PALMA CA 90623
ORANGE 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: NATIONAL DENTAL OFFICE, PHAM & CAO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5064 Primary Status: Cancelled
Address :
2407 ATLANTIC AVE
LONG BEACH CA 90806
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: NATIONAL DENTAL OFFICE, PHAM & CAO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5113 Primary Status: Cancelled
Address :
249 E BEVERLY BLVD, STE A
MONTEBELLO CA 90640
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: LA PALMA DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2636 Primary Status: Current - Active
Address :
7881 VALLEY VIEW STREET
LA PALMA CA 90623
ORANGE COUNTY
