Dental Board of California
Licensing details for: 62908
Name: MA, QUAN T
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
Address of Record
6650 Flanders Dr Ste J
SAN DIEGO CA 92121-3908
SAN DIEGO 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: QUAN THIEN MA DDS
License/Registration Type: Additional Office Permit
License Number: 79132 Primary Status: Current - Active
Address :
315 Walnut Ave
SAN DIEGO CA 92103-4904
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: PARK WEST DENTAL GROUP, OFFICE OF QUAN MA AND TOM BIERMAN
License/Registration Type: Fictitious Name Permit
License Number: 13867 Primary Status: Current - Active
Address :
315 WALNUT AVE
SAN DIEGO CA 92103
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: SAN DIEGO DENTAL STUDIO DENTAL OFFICE OF DR. THOMAS BIERMAN AND DR. QUAN MA
License/Registration Type: Fictitious Name Permit
License Number: 19950 Primary Status: Current - Active
Address :
6650 Flanders Dr Suite J
SAN DIEGO CA 92121-3906
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: SAN DIEGO DENTAL STUDIO, DENTAL OFFICE OF DR. TOM BIERMAN AND DR.
License/Registration Type: Fictitious Name Permit
License Number: 11295 Primary Status: Expired
Address :
6635 FLANDERS DRIVE
SUITE E
SAN DIEGO CA 92121
SAN DIEGO COUNTY
