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Licensing details for: 8242

Name: PHAM & CAO DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2407 ATLANTIC AVE
LONG BEACH CA 90806
LOS ANGELES county
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Issuance Date

April 13, 2004

Expiration Date

November 30, 2012

Current Date / Time

April 3, 2026
2:01:23 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: CAO, ANTHONY HUNG

License/Registration Type: Dentist License

License Number: 43909 Primary Status: Current - Active

Address :
2200 HARBOR BLVD STE B-230
COSTA MESA CA 92627
ORANGE COUNTY

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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

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