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: FULLERTON DENTAL GROUP, PHAM AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10799 Primary Status: Cancelled
Address :
1573 S. HARBOR BLVD
FULLERTON CA 92832
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: PHAMILY DENTISTRY - DENTAL PRACTICE OF PETER H PHAM DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 16629 Primary Status: Cancelled
Address :
18220 YORBA LINDA BLVD STE 305
YORBA LINDA CA 92886
ORANGE COUNTY
