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Licensing details for: 8049

Name: D. YOUNG PHAM, D.D.S., THE CENTER FOR BEAUTIFUL SMILES

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1415 RIDGEBACK ROAD
STE. 23
CHULA VISTA CA 91910
SAN DIEGO county
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Practice Location

1415 RIDGEBACK ROAD
STE. 23
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

April 9, 2009

Expiration Date

January 31, 2022

Current Date / Time

May 7, 2026
7:56:21 AM

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, D. YOUNG

License/Registration Type: Dentist License

License Number: 54326 Primary Status: Current - Active

Address :
4980 Barranca Pkwy
STE 208
IRVINE CA 92604-8645
ORANGE COUNTY

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