Dental Board of California
Licensing details for: 57630
Name: LE, TOMMY CUONG
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1641 E 17th St
Suite B
SANTA ANA CA 92705-8535
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: TOMMY C LE DDS A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79118 Primary Status: Current - Active
Address :
17900 Brookhurst St
STE A
FOUNTAIN VALLEY CA 92708-5141
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FOUNTAIN VALLEY DENTAL ESTHETICS, DENTAL OFFICE OF TOMMY C. LE DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15440 Primary Status: Current - Active
Address :
17900 BROOKHURST ST. STE. #A
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: 123 DENTAL, DENTAL OFFICE OF TOMMY C. LE, D.D.S., A PROFESSIONAL
License/Registration Type: Fictitious Name Permit
License Number: 11199 Primary Status: Current - Active
Address :
1641 E 17TH STREET
SUITE B
SANTA ANA CA 92705
ORANGE 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: FOUNTAIN VALLEY DENTAL ESTHETICS, DENTAL OFFICE OF TOMMY C. LE DDS, A PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15440 Primary Status: Current - Active
Address :
17900 BROOKHURST ST. STE. #A
FOUNTAIN VALLEY CA 92708
ORANGE 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: 123 DENTAL, DENTAL OFFICE OF TOMMY C. LE, D.D.S., A PROFESSIONAL
License/Registration Type: Fictitious Name Permit
License Number: 11199 Primary Status: Current - Active
Address :
1641 E 17TH STREET
SUITE B
SANTA ANA CA 92705
ORANGE COUNTY
