Dental Board of California
Licensing details for: 19018
Name: PERFECT SMILE DENTAL CARE DENTAL PRACTICE OF ANNIE N 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, ANNIE NHU-Y
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, ANNIE NHU-Y
License/Registration Type: Dentist License
License Number: 47775 Primary Status: Current - Active
Address :
1364 El Camino Real
SANTA CLARA CA 95050-4662
SANTA CLARA COUNTY
