Dental Board of California
Licensing details for: 109363
Name: HSIN, LILY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by ADEX
Address of Record
2682 Naglee Rd
Ste 110
TRACY CA 95304-7346
SAN JOAQUIN 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: Naglee Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20259 Primary Status: Current - Active
Address :
2682 Naglee Rd Ste 110
TRACY CA 95304
