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Licensing details for: 79650

Name: PHAM & MAUSETH, DDS, INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

135 SAXONY RD STE 200
ENCINITAS CA 92024-3791
SAN DIEGO county
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Practice Location

135 SAXONY RD STE 200
ENCINITAS CA 92024-3791
SAN DIEGO county
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Issuance Date

April 26, 2018

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
5:8:15 AM

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: MAUSETH, SPENCER EUGENE

License/Registration Type: Dentist License

License Number: 61986 Primary Status: Current - Active

Address :
16918 Dove Canyon Rd
#203
SAN DIEGO CA 92127-3445
SAN DIEGO COUNTY

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