Dental Board of California
Licensing details for: 52915
Name: PHAM, CHRISTOPHER CUONG
License Type: Dentist
Primary Status: Current - Active
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: CHRISTOPHER CUONG PHAM, DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81231 Primary Status: Expired
Address :
2987 CORONADO AVE STE A
SAN DIEGO CA 92154
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: PHAM & MAUSETH, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 79675 Primary Status: Cancelled
Address :
110 Town Center Pkwy
Suite A
SANTEE CA 92071-5801
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: CHRISTOPHER PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81506 Primary Status: Current - Active
Address :
9200 SCRANTON RD, STE 101
SAN DIEGO CA 92121
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SPARK DENTAL PRACTICE OF CHRISTOPHER PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17802 Primary Status: Current - Active
Address :
9200 SCRANTON RD, STE 101
SAN DIEGO CA 92121
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTAL ARTS OF CORONADO AVENUE,DENTAL PRACTICE OF CHRISTOPHER CUONG PHAM DDS, A PROFESSONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17155 Primary Status: Expired
Address :
2987 CORONADO AVE STE A
SAN DIEGO CA 92154
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTER FOR BEAUTIFUL SMILES, DENTAL PRACTICE OF CHRISTOPHER PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16616 Primary Status: Expired
Address :
1415 RIDGEBACK RD #23
CHULA VISTA CA 91910
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MOWRY DENTAL PRACTICE OF CHRIS PHAM, DDS AND THI HOANG, DDS
License/Registration Type: Fictitious Name Permit
License Number: 8944 Primary Status: Cancelled
Address :
2147 MOWRY AVENUE
STE. A5
FREMONT CA 94538
ALAMEDA 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: SPARK DENTAL PRACTICE OF CHRISTOPHER PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17802 Primary Status: Current - Active
Address :
9200 SCRANTON RD, STE 101
SAN DIEGO CA 92121
SAN DIEGO 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: DENTAL ARTS OF CORONADO AVENUE,DENTAL PRACTICE OF CHRISTOPHER CUONG PHAM DDS, A PROFESSONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17155 Primary Status: Expired
Address :
2987 CORONADO AVE STE A
SAN DIEGO CA 92154
SAN DIEGO 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: CENTER FOR BEAUTIFUL SMILES, DENTAL PRACTICE OF CHRISTOPHER PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16616 Primary Status: Expired
Address :
1415 RIDGEBACK RD #23
CHULA VISTA CA 91910
SAN DIEGO 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: MOWRY DENTAL PRACTICE OF CHRIS PHAM, DDS AND THI HOANG, DDS
License/Registration Type: Fictitious Name Permit
License Number: 8944 Primary Status: Cancelled
Address :
2147 MOWRY AVENUE
STE. A5
FREMONT CA 94538
ALAMEDA COUNTY
