Dental Board of California
Licensing details for: 63870
Name: TAN, KEVIN BRANDON
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: TAN, KEVIN
Address of Record
10848 Everly Way
SAN DIEGO CA 92129-2018
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BERNARDO HILLS DENTISTRY DENTAL OFFICE OF DR. KEVIN TAN
License/Registration Type: Fictitious Name Permit
License Number: 18011 Primary Status: Current - Active
Address :
11665 AVENA PL, SUITE #105
SAN DIEGO CA 92128
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: BERNARDO HILLS DENTISTRY DENTAL OFFICE OF DR. KEVIN TAN
License/Registration Type: Fictitious Name Permit
License Number: 18011 Primary Status: Current - Active
Address :
11665 AVENA PL, SUITE #105
SAN DIEGO CA 92128
SAN DIEGO COUNTY
