Dental Board of California
Licensing details for: 434
Name: PHAM, CHIEU L
License Type: Pediatric Minimal Sedation Permit
Primary Status: Current - Active
Previous Names: PHAM, CHRIS
Address of Record
2015 Birch Rd
#103
CHULA VISTA CA 91915-2002
Map
Practice Location
110 Town Center Pkwy
#A
SANTEE CA 92071
SAN DIEGO county
Map
12395 El Camino Real
#312
SAN DIEGO CA 92130-3082
SAN DIEGO county
Map
2780 Cardinal Rd
#A
SAN DIEGO CA 92123-3353
SAN DIEGO county
Map
662 Dennery Rd
#103
SAN DIEGO CA 92154
SAN DIEGO county
Map
License Relationships
PMS to DDS or OMS or SP
License/Registration Role: Pediatric Minimal 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



