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Licensing details for: 16371

Name: TAYLOR T. PHAM, A PROFESSIONAL CORPORATION DBA: LA PALMA DENTAL CARE, DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: TAYLOR T. PHAM DDS, A PROFESSIONAL CORPORATION

Address of Record

7881 VALLEY VIEW ST.
LA PALMA CA 90623
ORANGE county
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Practice Location

7881 VALLEY VIEW ST.
LA PALMA CA 90623
ORANGE county
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Issuance Date

March 10, 2021

Expiration Date

November 30, 2022

Current Date / Time

April 3, 2026
5:14:55 AM

License Relationships

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, 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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