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Licensing details for: 81506

Name: CHRISTOPHER PHAM DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9200 SCRANTON RD, STE 101
SAN DIEGO CA 92121
SAN DIEGO county
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Practice Location

9200 SCRANTON RD, STE 101
SAN DIEGO CA 92121
SAN DIEGO county
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Issuance Date

May 1, 2023

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
3:39:46 PM

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, 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

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