Dental Board of California
Licensing details for: 547
Name: PHAM, CHIEU L
License Type: Conscious Sedation
Primary Status: Cancelled
Previous Names: PHAM, CHRIS
Address of Record
12395 EL CAMINO REAL SUITE 218
SAN DIEGO CA 92130
SAN DIEGO county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: PHAM, CHIEU L
License/Registration Type: Dentist License
License Number: 52916 Primary Status: Current - Active
Address :
2015 Birch Rd Ste 103
CHULA VISTA CA 91915-2003
SAN DIEGO COUNTY
