Dental Board of California
Licensing details for: 47775
Name: PHAM, ANNIE NHU-Y
License Type: Dentist
Primary Status: Current - Active
Previous Names: PHAM, Y ANNIE NHU
Address of Record
1364 El Camino Real
SANTA CLARA CA 95050-4662
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: PERFECT SMILE DENTAL CARE DENTAL PRACTICE OF ANNIE N PHAM, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 19018 Primary Status: Current - Active
Address :
1364 EL CAMINO REAL
SANTA CLARA CA 95050
SANTA CLARA COUNTY



