Dental Board of California
Licensing details for: 42703
Name: TAO, GEORGE JI-JUN
License Type: Dentist
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CARNELIAN FAMILY DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 2686 Primary Status: Cancelled
Address :
6626 CARNELIAN STREET
ALTA LOMA CA 91701
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CARNELIAN FAMILY DENTAL GEORGE J. TAO, DDS., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17134 Primary Status: Current - Active
Address :
9588 BASELINE RD., STE. 100
RANCHO CUCAMONGA CA 91701
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAS TUNAS FAMILY DENTAL GROUP, ISAAC CHEN, DDS
License/Registration Type: Fictitious Name Permit
License Number: 1224 Primary Status: Cancelled
Address :
1107 E LAS TUNAS DRIVE
SAN GABRIEL CA 91776
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: CARNELIAN FAMILY DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 2686 Primary Status: Cancelled
Address :
6626 CARNELIAN STREET
ALTA LOMA CA 91701
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: LAS TUNAS FAMILY DENTAL GROUP, ISAAC CHEN, DDS
License/Registration Type: Fictitious Name Permit
License Number: 1224 Primary Status: Cancelled
Address :
1107 E LAS TUNAS DRIVE
SAN GABRIEL CA 91776
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: CARNELIAN FAMILY DENTAL GEORGE J. TAO, DDS., INC.
License/Registration Type: Fictitious Name Permit
License Number: 17134 Primary Status: Current - Active
Address :
9588 BASELINE RD., STE. 100
RANCHO CUCAMONGA CA 91701
SAN BERNARDINO COUNTY
