Dental Board of California
Licensing details for: 43542
Name: LE, TRA THANH
License Type: Dentist
Primary Status: Current - Active
Address of Record
17541 IRVINE BLVD #A
TUSTIN CA 92780
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4301 Primary Status: Cancelled
Address :
14591 NEWPORT AVE, STE 108
TUSTIN CA 92780
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF TRA T. LE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14274 Primary Status: Current - Active
Address :
17541 IRVINE BLVD STE A
TUSTIN CA 92780-3158
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF TRA T. LE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8960 Primary Status: Cancelled
Address :
14591 NEWPORT AVENUE
STE. 108
TUSTIN CA 92780
ORANGE 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: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF TRA T. LE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8960 Primary Status: Cancelled
Address :
14591 NEWPORT AVENUE
STE. 108
TUSTIN CA 92780
ORANGE 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: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF TRA T. LE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14274 Primary Status: Current - Active
Address :
17541 IRVINE BLVD STE A
TUSTIN CA 92780-3158
ORANGE 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: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4301 Primary Status: Cancelled
Address :
14591 NEWPORT AVE, STE 108
TUSTIN CA 92780
ORANGE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: LE, TRA THANH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 62 Primary Status: Cancelled
Address :
17541 IRVINE BLVD #A
TUSTIN CA 92780
ORANGE COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: LE, TRA THANH
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 330 Primary Status: Current - Active
Address :
17541 Irvine Blvd
Ste. #A
TUSTIN CA 92780-3158
ORANGE COUNTY
