License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILESPOT - PRACTICE OF DAVID PHAM DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 15479 Primary Status: Current - Active
Address :
1000 E IMPERIAL HIGHWAY., SUITE A1
BREA CA 92821
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: SMILESPOT - PRACTICE OF DAVID PHAM DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 15479 Primary Status: Current - Active
Address :
1000 E IMPERIAL HIGHWAY., SUITE A1
BREA CA 92821
ORANGE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: PHAM, DAVID HUNG
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2911 Primary Status: Current - Active
Address :
1000 E Imperial Hwy
SUITE A-1
BREA CA 92821-5602
ORANGE COUNTY
