Dental Board of California
Licensing details for: 18777
Name: INLAND DENTAL GROUP, PRACTICE OF PHAM VO DENTAL PARTNERSHIP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VO, TRAVIS NAM
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PHAM, DERICK UY
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, DERICK UY
License/Registration Type: Dentist License
License Number: 103577 Primary Status: Current - Active
Address :
13431 Mitchell Ave
GARDEN GROVE CA 92843-2527
ORANGE COUNTY
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: VO, TRAVIS NAM
License/Registration Type: Dentist License
License Number: 103964 Primary Status: Current - Active
Address :
5563 Barclay Ct
CHINO HILLS CA 91709-8749
SAN BERNARDINO COUNTY
