Dental Board of California
Licensing details for: 57473
Name: PHAM, KRYSTAL HONG-QUYEN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: NGUYEN, QUYEN HONG ❖ PHAM, QUYEN HONG
Address of Record
16052 BEACH BLVD
STE 112
HUNTINGTON BEACH CA 92647
ORANGE county
Map
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: KRYSTAL PHAM DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 79160 Primary Status: Current - Active
Address :
17991 Euclid St
FOUNTAIN VALLEY CA 92708-5409
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OCEANIC DENTAL PRACTICE OF KRYSTAL PHAM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8736 Primary Status: Current - Active
Address :
16052 BEACH BLVD.
STE. 112
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OCEANIC DENTAL DENTAL OFFICE OF KRYSTAL PHAM DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13206 Primary Status: Current - Active
Address :
17991 EUCLID STREET
FOUNTAIN VALLEY CA 92708
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: OCEANIC DENTAL PRACTICE OF KRYSTAL PHAM, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8736 Primary Status: Current - Active
Address :
16052 BEACH BLVD.
STE. 112
HUNTINGTON BEACH CA 92647
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: OCEANIC DENTAL DENTAL OFFICE OF KRYSTAL PHAM DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13206 Primary Status: Current - Active
Address :
17991 EUCLID STREET
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY
