Dental Board of California
Licensing details for: 103147
Name: MAI, JENNIFER NA THI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAILEE MODERN DENTISTRY DENTAL PRACTICE OF DR. JENNIFER MAI & DR. ALEXANDER LEE
License/Registration Type: Fictitious Name Permit
License Number: 16078 Primary Status: Current - Active
Address :
15422 CRENSHAW BLVD
GARDENA CA 90249
LOS ANGELES COUNTY
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: MAILEE MODERN DENTISTRY DENTAL PRACTICE OF DR. JENNIFER MAI & DR. ALEXANDER LEE
License/Registration Type: Fictitious Name Permit
License Number: 16078 Primary Status: Current - Active
Address :
15422 CRENSHAW BLVD
GARDENA CA 90249
LOS ANGELES COUNTY
