
Dental Board of California
Licensing details for: 79160
Name: KRYSTAL PHAM DDS, INC.
License Type: Additional Office Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: PHAM, KRYSTAL HONG-QUYEN
License/Registration Type: Dentist License
License Number: 57473 Primary Status: Current - Active
Address :
16052 BEACH BLVD
STE 112
HUNTINGTON BEACH CA 92647
ORANGE COUNTY