Dental Board of California
Licensing details for: 41557
Name: TIN, SAN AYE
License Type: Dentist
Primary Status: Current - Active
Address of Record
2400 FENTON ST STE A-100
CHULA VISTA CA 91914
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DOWNTOWN DENTISTRY DENTAL PRACTICE OF TIN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 5822 Primary Status: Cancelled
Address :
555 WEST C STREET
SAN DIEGO CA 92101
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: DOWNTOWN DENTISTRY DENTAL PRACTICE OF TIN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 5822 Primary Status: Cancelled
Address :
555 WEST C STREET
SAN DIEGO CA 92101
SAN DIEGO COUNTY
