Dental Board of California
Licensing details for: 52076
Name: LE, THONG BA
License Type: Dentist
Primary Status: Current - Active
License Relationships
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: FRESNO PRO DENTAL, PRACTICE OF THONGBE LE DDS CORP.
License/Registration Type: Fictitious Name Permit
License Number: 11322 Primary Status: Current - Active
Address :
237 W SHIELDS AVENUE
FRESNO CA 93705
FRESNO 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: EL PORTAL DENTAL GROUP, LE-NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5336 Primary Status: Cancelled
Address :
3385 G STREET, STE B
MERCED CA 95340
MERCED COUNTY
