Dental Board of California
Licensing details for: 62766
Name: LE, RONNY TRAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: YIGE ZHAO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80413 Primary Status: Current - Active
Address :
9840 CARMEL MOUNTAIN ROAD
SAN DIEGO CA 92129
SAN DIEGO COUNTY
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: RONNY LE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80338 Primary Status: Cancelled
Address :
1350 E. VISTA WAY, SUITE 10
VISTA CA 92084
SAN DIEGO COUNTY
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 AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11633 Primary Status: Cancelled
Address :
4142 ADAMS AVENUE
SUITE 104
SAN DIEGO CA 92116
SAN DIEGO COUNTY
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 AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80177 Primary Status: Current - Active
Address :
4142 ADAMS AVENUE, SUITE 104
SAN DIEGO CA 92116
SAN DIEGO 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: VISTA MODERN DENTISTRY DENTAL GROUP RONNY LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15414 Primary Status: Cancelled
Address :
1350 E. VISTA WAY., SUITE 10
VISTA CA 92084
SAN DIEGO 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: KENSINGTON DENTAL GROUP, LE AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15140 Primary Status: Current - Active
Address :
4142 ADAMS AVENUE, SUITE 104
SAN DIEGO CA 92116
SAN DIEGO 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: RANCHO PENASQUITOS DENTISTRY DENTAL GROUP YIGE ZHAO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15513 Primary Status: Current - Active
Address :
9840 CARMEL MOUNTAIN ROAD
SAN DIEGO CA 92129
SAN DIEGO COUNTY
