Dental Board of California
Licensing details for: 5113
Name: NATIONAL DENTAL OFFICE, PHAM & CAO DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
249 E BEVERLY BLVD, STE A
MONTEBELLO CA 90640
LOS ANGELES county
Map
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: CAO, ANTHONY HUNG
License/Registration Type: Dentist License
License Number: 43909 Primary Status: Current - Active
Address :
2200 HARBOR BLVD STE B-230
COSTA MESA CA 92627
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: 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
