
Dental Board of California
Licensing details for: 79675
Name: PHAM & MAUSETH, DDS, INC.
License Type: Additional Office Permit
Primary Status: Cancelled
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: BUZZELL, JORDAN NATHANIEL
License/Registration Type: Dentist License
License Number: 57219 Primary Status: Current - Active
Address :
110 TOWN CENTER PARKWAY
Suite A
SANTEE CA 92071
SAN DIEGO COUNTY
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, CHRISTOPHER CUONG
License/Registration Type: Dentist License
License Number: 52915 Primary Status: Current - Active
Address :
9200 Scranton Rd
Ste 101
SAN DIEGO CA 92121-7716
SAN DIEGO COUNTY
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