License holder summary

Phouphokham Sisomboun is a Dentistry - Dental Hygienist licensed to practice in Massachusetts. The address on file for Phouphokham Sisomboun is United States, Warwick 02886. This licensed professional license is current. The license was granted 08/28/2013 and expired on 03/31/2017.

Massachusetts

Division of Professional Licensure

Phouphokham Sisomboun
Dentistry - Dental Hygienist
License number
DH88360
Date granted
08/28/2013
Date expires
03/31/2017
Class
Dentistry - Dental Hygienist
Status
Current
Address
United States
licensingma.org
ID 38565931
LAST UPDATED 2026-05-02 20:35:22 UTC

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