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Licensing details for: 438

Name: PHAM, CATHERINE MY-HANH

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Qualification: Pediatric Endorsement Under 7 Pediatric Endorsement Under 13Primary Status Definition

Address of Record

100 N. 1ST ST. SUITE 104
BURBANK CA 91502
LOS ANGELES county
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Practice Location

925 W. 34TH STREET. FLOOR B
LOS ANGELES CA 90089
LOS ANGELES county
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Issuance Date

May 16, 2024

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
2:4:42 AM

License Relationships

MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: PHAM, CATHERINE MY-HANH

License/Registration Type: Dentist License

License Number: 102043 Primary Status: Current - Active

Address :
100 N First St
Suite 104
BURBANK CA 91502-1845
LOS ANGELES COUNTY

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