Dental Board of California
Licensing details for: 713
Name: PHAM, CHIEU L
License Type: Moderate Sedation Permit
Primary Status: Current - Active
Previous Names: PHAM, CHRIS
Address of Record
678 3rd Ave
CHULA VISTA CA 91910-5736
SAN DIEGO county
Map
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, CHIEU L
License/Registration Type: Dentist License
License Number: 52916 Primary Status: Current - Active
Address :
2015 Birch Rd Ste 103
CHULA VISTA CA 91915-2003
SAN DIEGO COUNTY
