Dental Board of California
Licensing details for: 34009
Name: VINES, THERON LANE JR
License Type: Dentist
Primary Status: Current - Active
Address of Record
303 BROOKSIDE
REDLANDS CA 92373
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PURE GOLD PROFESSIONALS IN DENTISTRY, A DENTAL GROUP OF THERON L.
License/Registration Type: Fictitious Name Permit
License Number: 9638 Primary Status: Current - Active
Address :
303 BROOKSIDE AVENUE
REDLANDS CA 92373
SAN BERNARDINO 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: PURE GOLD PROFESSIONALS IN DENTISTRY, A DENTAL GROUP OF THERON L.
License/Registration Type: Fictitious Name Permit
License Number: 9638 Primary Status: Current - Active
Address :
303 BROOKSIDE AVENUE
REDLANDS CA 92373
SAN BERNARDINO COUNTY
