Dental Board of California
Licensing details for: 108890
Name: Sun, Jason
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
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: Fontana Modern Dentistry, Dental Group of Fontana Modern Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20313 Primary Status: Current - Active
Address :
10189 Citrus Ave, Ste. 500
FONTANA CA 92335
