Dental Board of California
Licensing details for: 14549
Name: BECKER, EDWARD J
License Type: Dentist
Primary Status: Expired
Secondary Status: Radiation Safety Certification
Address of Record
15600 WASHINGTON AVENUE
SAN LORENZO CA 94580
ALAMEDA county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: BECKER EDWARD JEROME DDS
License/Registration Type: Additional Office Permit
License Number: 4493 Primary Status: Cancelled
Address :
16130 MEDICAL CENTER DRIVE #110
MORGAN HILL CA 95037
SANTA CLARA 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: BECKER & TRAN DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 2093 Primary Status: Cancelled
Address :
16130 MEDICAL CENTER DRIVE
SUITE 110
MORGAN HILL CA 95037
SANTA CLARA 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: ACCESS DENTAL HEALTH, DENTAL PRACTICE OF EDWARD J. BETHER, D.D.S.
License/Registration Type: Fictitious Name Permit
License Number: 11150 Primary Status: Expired
Address :
15600 WASHINGTON AVENUE
SUITE A
SAN LORENZO CA 94580
ALAMEDA COUNTY
New License to Old License
License/Registration Role: New Dentist License
Related Party Role: Old Dentist License
Name: TRAN, DAVID DAT
License/Registration Type: Dentist License
License Number: 45040 Primary Status: Current - Active
Address :
16120 Monterey Rd
MORGAN HILL CA 95037-5404
SANTA CLARA COUNTY
