Dental Board of California
Licensing details for: 2945
Name: PHAM, KIM THU
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: PHAM, KIM T
Address of Record
3946
Walnut Avenue
LONG BEACH CA 90807
LOS ANGELES county
Map
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, KIM THU
License/Registration Type: Dentist License
License Number: 55500 Primary Status: Current - Active
Address :
1325 N Anaheim Blvd
ANAHEIM CA 92801-1202
ORANGE COUNTY
