Dental Board of California
Licensing details for: 1374
Name: PHAM, CHIEU L
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: PHAM, CHRIS
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
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
