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Licensing details for: 2911

Name: PHAM, DAVID HUNG

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

1000 E IMPERIAL HWY
SUITE A-1
BREA CA 92821
ORANGE county
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Practice Location

1000 E Imperial Hwy
SUITE A-1
BREA CA 92821-5602
ORANGE county
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Issuance Date

April 25, 2013

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
10:16:36 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILESPOT - PRACTICE OF DAVID PHAM DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 15479 Primary Status: Current - Active

Address :
1000 E IMPERIAL HIGHWAY., SUITE A1
BREA CA 92821
ORANGE COUNTY

Map

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, DAVID HUNG

License/Registration Type: Dentist License

License Number: 48662 Primary Status: Current - Active

Address :
1000 E Imperial Hwy
SUITE A-1
BREA CA 92821-5602
ORANGE COUNTY

Map

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