Dental Board of California
Licensing details for: 54971
Name: LE, TRAM KIM
License Type: Dentist
Primary Status: Current - Active
Address of Record
26045 Newport Rd
#B
MENIFEE CA 92584-7317
RIVERSIDE 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: LE DENTAL GROUP
License/Registration Type: Additional Office Permit
License Number: 80533 Primary Status: Expired
Address :
26045 NEWPORT RD. #B
MENIFEE CA 92584
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: YOUR SMILE DESIGNER DENTAL PRACTICE OF LE DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 15742 Primary Status: Current - Active
Address :
26045 NEWPORT RD. #B
MENIFEE CA 92584
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: TIERRA TOWN DENTAL CENTER, DENTAL PRACTICE OF TRAM K. LE, DDS, IN
License/Registration Type: Fictitious Name Permit
License Number: 8545 Primary Status: Expired
Address :
10645 TIERRASANTA BLVD.
STE. B
SAN DIEGO CA 92124
SAN DIEGO COUNTY
