Dental Board of California
Licensing details for: 46338
Name: TON, THANH TAM NU
License Type: Dentist
Primary Status: Current - Active
Address of Record
1148 S Rowan Ave Ste 1
LOS ANGELES CA 90023-3360
LOS ANGELES county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: TON, THANH TAM NU
License/Registration Type: Conscious Sedation Permit
License Number: 782 Primary Status: Cancelled
Address :
19215 VANOWEN STREET
RESEDA CA 91335
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: AFC DENTAL GROUP OF TON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 3670 Primary Status: Cancelled
Address :
1201 EAST FLORENCE AVE
LOS ANGELES CA 90001
LOS ANGELES 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: TON, THANH TAM NU
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 583 Primary Status: Cancelled
Address :
1148 S ROWAN AVE SUITE #1
LOS ANGELES CA 90023
LOS ANGELES 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: TON, THANH TAM NU
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 34 Primary Status: Current - Active
Address :
1148 S. ROWAN AVE. SUITE 1
LOS ANGELES CA 90023
LOS ANGELES COUNTY
