Dental Board of California
Licensing details for: 42841
Name: LE, TIM KHUONG
License Type: Dentist
Primary Status: Current - Active
Address of Record
9330 B MIRA MESA BLVD
SAN DIEGO CA 92126
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PACIFIC DENTAL OFFICE OF DR LE AND DR TONG
License/Registration Type: Fictitious Name Permit
License Number: 17480 Primary Status: Expired
Address :
9330-B MIRA MESA BLVD
SAN DIEGO CA 92126
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: PACIFIC DENTAL OFFICE OF DR LE AND DR TONG
License/Registration Type: Fictitious Name Permit
License Number: 17480 Primary Status: Expired
Address :
9330-B MIRA MESA BLVD
SAN DIEGO CA 92126
SAN DIEGO COUNTY
