Dental Board of California
Licensing details for: 40666
Name: MA, JACK TING-SHEN
License Type: Dentist
Primary Status: Current - Active
Address of Record
9093 LAS TUNAS DRIVE
TEMPLE CITY CA 91780
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DR. TOOTH FAMILY DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 1909 Primary Status: Expired
Address :
9093 LAS TUNAS DRIVE
TEMPLE CITY CA 91780
LOS ANGELES 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: DR. TOOTH FAMILY DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 1909 Primary Status: Expired
Address :
9093 LAS TUNAS DRIVE
TEMPLE CITY CA 91780
LOS ANGELES COUNTY
