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Licensing details for: 16629

Name: PHAMILY DENTISTRY - DENTAL PRACTICE OF PETER H PHAM DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

18220 YORBA LINDA BLVD STE 305
YORBA LINDA CA 92886
ORANGE county
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Practice Location

18220 YORBA LINDA BLVD STE 305
YORBA LINDA CA 92886
ORANGE county
Map

Issuance Date

July 2, 2021

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
1:41:22 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PHAM, PETER HUNG

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, PETER HUNG

License/Registration Type: Dentist License

License Number: 50812 Primary Status: Current - Active

Address :
18220 YORBA LINDA BLVD STE 305
YORBA LINDA CA 92886
ORANGE COUNTY

Map

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