
Dental Board of California
Licensing details for: 106470
Name: CHAN, CHI LOK TIFFANY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: Chan, Chi Lok Tiffany
License Relationships
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: CHAN, CHI LOK TIFFANY
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 151 Primary Status: Current - Active
Address :
4072 ADAMS AVE.
SAN DIEGO CA 92116
SAN DIEGO COUNTY