Dental Board of California
Licensing details for: 64568
Name: CHAU, KHANH NHAT
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
18285 COLLIER AVE STE B
LAKE ELSINORE CA 92530
RIVERSIDE 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: WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80895 Primary Status: Cancelled
Address :
18285 COLLIER AVENUE, SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OAK GROVE DENTAL GROUP WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16467 Primary Status: Current - Active
Address :
18285 COLLIER AVENUE., SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE 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: OAK GROVE DENTAL GROUP WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16467 Primary Status: Current - Active
Address :
18285 COLLIER AVENUE., SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
