License holder summary

Phan, Mai-Thao Nguyen is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Phan, Mai-Thao Nguyen is 724 Fremont Ave , Kansas City 64125. This licensed professional license is current. The license was granted 05/28/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Phan, Mai-Thao Nguyen
Dental - Expanded Function - Restorative I
License number
2013015590  
Date granted
05/28/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
724 Fremont Ave 
licensingmissouri.org
ID 2033670
LAST UPDATED 2024-03-03 01:19:04 UTC

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