Dental Board of California
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

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



