Dental Board of California
Licensing details for: 80831
Name: TAYLOR PHAM DENTAL CORPORATION
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, TAYLOR THANH
License/Registration Type: Dentist License
License Number: 43483 Primary Status: Current - Active
Address :
15310 Goldenwest St
WESTMINSTER CA 92683-6150
ORANGE COUNTY
