Dental Board of California
Licensing details for: 63429
Name: REYNOLDS, TARAN KAUR
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
Previous Names: KAUR, TARAN
Address of Record
224 EAST BASELINE RD
RIALTO CA 92376
SAN BERNARDINO 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: AHUJA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79300 Primary Status: Expired
Address :
1045 Atlantic Ave Ste 602
LONG BEACH CA 90813-3419
LOS ANGELES 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: TARAN KAUR REYNOLDS, DDS
License/Registration Type: Additional Office Permit
License Number: 81848 Primary Status: Current - Active
Address :
1045 ATLANTIC AVE #603
LONG BEACH CA 90813
LOS ANGELES 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: TARAN REYNOLDS, DDS
License/Registration Type: Additional Office Permit
License Number: 81818 Primary Status: Current - Active
Address :
2553 E SLAUSON AVE
HUNTINGTON PARK CA 90255-2897
LOS ANGELES COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: REYNOLDS, TARAN KAUR
License/Registration Type: Conscious Sedation Permit
License Number: 1121 Primary Status: Cancelled
Address :
224 EAST BASELINE RD
RIALTO CA 92376
SAN BERNARDINO 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: AHUJA FULLER SMILES DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 12643 Primary Status: Expired
Address :
7890 HAVEN AVENUE, SUITE 3
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO 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: FULLER SMILES DENTAL PRACTICE OF TARAN KAUR REYNOLDS
License/Registration Type: Fictitious Name Permit
License Number: 19467 Primary Status: Current - Active
Address :
2553 E SLAUSON AVE
HUNTINGTON PARK CA 90255
LOS ANGELES 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: FULLER SMILES DENTAL PRACTICE OF TARAN KAUR REYNOLDS
License/Registration Type: Fictitious Name Permit
License Number: 19468 Primary Status: Current - Active
Address :
9808 VENICE BLVD SUITE 503
CULVER CITY CA 90232
LOS ANGELES 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: FULLER SMILES DENTAL PRACTICE OF TARAN REYNOLDS
License/Registration Type: Fictitious Name Permit
License Number: 18402 Primary Status: Current - Active
Address :
224 EAST BASELINE RD
RIALTO CA 92376-3506
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: REYNOLDS, TARAN KAUR
License/Registration Type: Moderate Sedation Permit
License Number: 626 Primary Status: Current - Active
Address :
224 EAST BASELINE RD.
RIALTO CA 92376
SAN BERNARDINO COUNTY
