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Licensing details for: 49975

Name: PHAM, SON GIA

License Type: Dentist

Primary Status: Current - Active

Address of Record

3061 Edinger Ave
SUITE #A
TUSTIN CA 92780-7238
ORANGE county
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Issuance Date

September 9, 2002

Expiration Date

November 30, 2026

Current Date / Time

December 15, 2025
12:40:20 PM

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: LEGACY ORTHODONTICS, DENTAL GROUP OF WILLIAM L CHEN, DDS,

License/Registration Type: Fictitious Name Permit

License Number: 5813 Primary Status: Current - Active

Address :
3061 EAST EDINGER AVE
TUSTIN CA 92780
ORANGE COUNTY

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