Dental Board of California
Licensing details for: 61916
Name: TEANG, ANTONO
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
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: ANTONO TEANG, DDS
License/Registration Type: Additional Office Permit
License Number: 82043 Primary Status: Current - Active
Address :
784 ADMIRAL CALLAGHAN LANE
VALLEJO CA 94591
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: ANTONO TEANG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79477 Primary Status: Current - Active
Address :
1208 FITZGERALD DR
PINOLE CA 94564
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF VALLEJO DENTAL GROUP, MAKKIYAH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19119 Primary Status: Current - Active
Address :
784 ADMIRAL CALLAGHAN LANE
VALLEJO CA 94591
SOLANO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PINOLE MODERN DENTISTRY DENTAL GROUP, ANTONO TEANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13755 Primary Status: Current - Active
Address :
1208 FITZGERALD DR
PINOLE CA 94564
CONTRA COSTA 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: PINOLE MODERN DENTISTRY DENTAL GROUP, ANTONO TEANG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13755 Primary Status: Current - Active
Address :
1208 FITZGERALD DR
PINOLE CA 94564
CONTRA COSTA 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: DENTISTS OF VALLEJO DENTAL GROUP, MAKKIYAH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19119 Primary Status: Current - Active
Address :
784 ADMIRAL CALLAGHAN LANE
VALLEJO CA 94591
SOLANO COUNTY
