Dental Board of California
Licensing details for: 46671
Name: PHAN, HAI THANH
License Type: Dentist
Primary Status: Current - Active
Address of Record
824 Jana Ln
SAN JOSE CA 95111-1537
SANTA CLARA county
Map
License Relationships
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: LEXANN SMILE DENTAL PRACTICE OF HAI PHAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10546 Primary Status: Expired
Address :
1569 LEXANN AVENUE, STE. 108
SAN JOSE CA 95121
SANTA CLARA COUNTY
