Dental Board of California
Licensing details for: 49228
Name: TIEU, ANDY LIANG
License Type: Dentist
Primary Status: Current - Active
Address of Record
6790 TOP GUN ST. SUITE #5
SAN DIEGO CA 92121
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: TIEU DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8440 Primary Status: Cancelled
Address :
3430 MARRON RD, STE 300
OCEANSIDE CA 92056
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: A TIEU DDS AND W PENG DDS INC.
License/Registration Type: Additional Office Permit
License Number: 12080 Primary Status: Cancelled
Address :
8736 LAKE MURRAY BLVD
SUITE 108
SAN DIEGO CA 92119
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: TIEU AND PENG DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 10813 Primary Status: Cancelled
Address :
30630 RANCHO CALIFORNIA RD.
STE. 504
TEMECULA CA 92591
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: REAGAN AND TIEU DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8265 Primary Status: Cancelled
Address :
709 CENTER DR, STE 101
SAN MARCOS CA 92069
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NAVAJO DENTAL CENTER DENTAL PRACTICE OF A TIEU AND W PENG DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 12580 Primary Status: Cancelled
Address :
8736 LAKE MURRAY BLVD, SUITE 108
SAN DIEGO CA 92119
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF PENG AND TIEU DENTA
License/Registration Type: Fictitious Name Permit
License Number: 9725 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PARKWAY, STE. I
SAN DIEGO CA 92131
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VINEYARD DENTAL GROUP, TIEU AND PENG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10216 Primary Status: Cancelled
Address :
30630 RANCHO CALIFORNIA ROAD, STE. 504
TEMECULA CA 92591
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN MARCOS DENTAL GROUP, REAGAN AND TIEU DENTAL CORPORTION
License/Registration Type: Fictitious Name Permit
License Number: 4967 Primary Status: Cancelled
Address :
709 CENTER DR, STE 101
SAN MARCOS CA 92069
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF ANDY L. TIEU DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16261 Primary Status: Current - Active
Address :
6790 TOP GUN ST, STE. 5
SAN DIEGO CA 92121
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF ANDY L. TIEU DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14779 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PKWY., STE I
SAN DIEGO CA 92131
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: QUARRY CREEK DENTAL GROUP, TIEU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5358 Primary Status: Cancelled
Address :
3430 MARRON RD, STE 300
OCEANSIDE CA 92056
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF PENG TIEU DENTAL IN
License/Registration Type: Fictitious Name Permit
License Number: 11906 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PKWY
SUITE I
SAN DIEGO CA 92131
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF ANDY L. TIEU, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 7941 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PARKWAY
STE. I
SAN DIEGO CA 92131
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: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF PENG TIEU DENTAL IN
License/Registration Type: Fictitious Name Permit
License Number: 11906 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PKWY
SUITE I
SAN DIEGO CA 92131
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: NAVAJO DENTAL CENTER DENTAL PRACTICE OF A TIEU AND W PENG DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 12580 Primary Status: Cancelled
Address :
8736 LAKE MURRAY BLVD, SUITE 108
SAN DIEGO CA 92119
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: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF ANDY L. TIEU, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 7941 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PARKWAY
STE. I
SAN DIEGO CA 92131
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: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF ANDY L. TIEU DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14779 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PKWY., STE I
SAN DIEGO CA 92131
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: QUARRY CREEK DENTAL GROUP, TIEU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5358 Primary Status: Cancelled
Address :
3430 MARRON RD, STE 300
OCEANSIDE CA 92056
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: SAN MARCOS DENTAL GROUP, REAGAN AND TIEU DENTAL CORPORTION
License/Registration Type: Fictitious Name Permit
License Number: 4967 Primary Status: Cancelled
Address :
709 CENTER DR, STE 101
SAN MARCOS CA 92069
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: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF ANDY L. TIEU DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 16261 Primary Status: Current - Active
Address :
6790 TOP GUN ST, STE. 5
SAN DIEGO CA 92121
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: VINEYARD DENTAL GROUP, TIEU AND PENG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 10216 Primary Status: Cancelled
Address :
30630 RANCHO CALIFORNIA ROAD, STE. 504
TEMECULA CA 92591
RIVERSIDE 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: SCRIPPS POWAY DENTAL CARE, DENTAL PRACTICE OF PENG AND TIEU DENTA
License/Registration Type: Fictitious Name Permit
License Number: 9725 Primary Status: Cancelled
Address :
10549 SCRIPPS POWAY PARKWAY, STE. I
SAN DIEGO CA 92131
SAN DIEGO COUNTY
