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Licensing details for: 3682

Name: PHAM, HOA HUU

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

29 LOOKOUT
IRVINE CA 92620
ORANGE county
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Practice Location

22554 VENTURA BLVD, SUITE 102
WOODLAND HILLS CA 91364
LOS ANGELES county
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9428 VALLEY BLVD, SUITE 101
ROSEMEAD CA 91770
LOS ANGELES county
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Issuance Date

October 2, 2017

Expiration Date

January 31, 2019

Current Date / Time

June 7, 2025
3:36:25 AM

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, HOA HUU

License/Registration Type: Dentist License

License Number: 101401 Primary Status: Current - Active

Address :
3492 Pecan St
IRVINE CA 92606-2121
ORANGE COUNTY

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