California
Department of Consumer Affairs
CHEN PHYLLIS FORMOSANA
Dental License
License number
46570
Date granted
09/15/1999
Date expires
03/31/2016
Class
Dental License
Status
Current
Address
1794 SAN JOSE AVENUE SAN FRANCISCO CA 94112
californialicensing.org
ID 19797498
LAST UPDATED 2026-06-27 15:37:19 UTC
LAST UPDATED 2026-06-27 15:37:19 UTC
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