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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
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Issuance Date

August 4, 2000

Expiration Date

May 31, 2026

Current Date / Time

December 13, 2025
9:42:28 AM

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

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