Dental Board of California
Licensing details for: 101888
Name: SRITHONGRUNG, JUSTIN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
Address of Record
3480 Ontario Ranch Rd
Ste 5
ONTARIO CA 91761
SAN BERNARDINO county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: Dentists of Ontario Ranch Dental Group of Dentists of Ontario Ranch, Prof. Corp.
License/Registration Type: Fictitious Name Permit
License Number: 20709 Primary Status: Current - Active
Address :
3480 E. Ontario Ranch Road Suite 5
ONTARIO CA 91761
SAN BERNARDINO COUNTY
