Dental Board of California
Licensing details for: 52127
Name: VU, TIEN
License Type: Dentist
Primary Status: Current - Active
Previous Names: VU, TIEN D
Address of Record
28717 Oak Park Ln
TEMECULA CA 92591-7522
ORANGE 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: WATANABE AND VU DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81415 Primary Status: Current - Active
Address :
25395 MADISON AVENUE, SUITE 103
MURRIETA CA 92562
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MURRIETA DENTAL GROUP, WATANABE AND VU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17624 Primary Status: Current - Active
Address :
25395 MADISON AVENUE, SUITE 103
MURRIETA CA 92562
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: MURRIETA DENTAL GROUP, WATANABE AND VU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17624 Primary Status: Current - Active
Address :
25395 MADISON AVENUE, SUITE 103
MURRIETA CA 92562
RIVERSIDE 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: VU, TIEN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1904 Primary Status: Cancelled
Address :
5010 W 6TH ST
SANTA ANA CA 92703
ORANGE COUNTY
