Dental Board of California
Licensing details for: 38376
Name: TINER, KIRK ELLIOTT
License Type: Dentist
Primary Status: Cancelled
Address of Record
3381 W MAIN ST #3
ST CHARLES IL 60175
KANE 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: TINER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9128 Primary Status: Cancelled
Address :
820 34TH STREET, STE. 201
BAKERSFIELD CA 93301
KERN COUNTY
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: KIRK E. TINER, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9232 Primary Status: Cancelled
Address :
985 SOUTH SANTA FE
STE. 5
VISTA CA 92083
SAN DIEGO COUNTY
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: KIRK E. TINER, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9129 Primary Status: Cancelled
Address :
5708 PIRRONE RD.
SALIDA CA 95368
STANISLAUS COUNTY
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: KIRK E. TINER, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9233 Primary Status: Cancelled
Address :
4150 REGENTS PARK ROW
STE. 130
LA JOLLA CA 92037
SAN DIEGO COUNTY
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: KIRK E. TINER, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9234 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD.
STE. A
SAN DIEGO CA 92124
SAN DIEGO 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: SCRIPPS DENTAL GROUP, KIRK E TINER, DDS AND
License/Registration Type: Fictitious Name Permit
License Number: 5187 Primary Status: Cancelled
Address :
79 SCRIPPS DR, STE 204
SACRAMENTO CA 95825
SACRAMENTO COUNTY
