TIEN D PHAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033488

License Status

ACTIVE

Business

First Name

TIEN

Middle

Last Name

PHAN

Business Name

TIEN D PHAN

Original Issue Date

12/29/2021

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

IRVING

State

Zip

75063

Ever Disciplined

LastModifiedDate

01/08/2025