
Dental Board of California
Licensing details for: 58713
Name: TON, CONG THAT
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
9631 RINDGE CIRCLE
FOUNTAIN VALLEY CA 92708
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: TON AND DHAMA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80178 Primary Status: Current - Active
Address :
6445 PAT'S RANCH ROAD, SUITE G
MIRA LOMA CA 91752
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MIRA LOMA SMILES DENTISTRY DENTAL GROUP TON AND DHAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15155 Primary Status: Current - Active
Address :
6445 PAT'S RANCH ROAD, SUITE G
MIRA LOMA CA 91752
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MIRA LOMA SMILES DENTISTRY, DENTAL GROUP OF TON AND DHAMA DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10873 Primary Status: Cancelled
Address :
6445 PAT'S RANCH ROAD SUITE G
MIRA LOMA CA 91752
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: MIRA LOMA SMILES DENTISTRY, DENTAL GROUP OF TON AND DHAMA DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 10873 Primary Status: Cancelled
Address :
6445 PAT'S RANCH ROAD SUITE G
MIRA LOMA CA 91752
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: MIRA LOMA SMILES DENTISTRY DENTAL GROUP TON AND DHAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15155 Primary Status: Current - Active
Address :
6445 PAT'S RANCH ROAD, SUITE G
MIRA LOMA CA 91752
RIVERSIDE COUNTY