Dental Board of California
Licensing details for: 13206
Name: OCEANIC DENTAL DENTAL OFFICE OF KRYSTAL PHAM DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PHAM, KRYSTAL HONG-QUYEN
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: PHAM, KRYSTAL HONG-QUYEN
License/Registration Type: Dentist License
License Number: 57473 Primary Status: Current - Active
Address :
16052 BEACH BLVD
STE 112
HUNTINGTON BEACH CA 92647
ORANGE COUNTY
