Dental Board of California
Licensing details for: 64980
Name: JIN, TIAN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTEX DENTAL STUDIO DENTAL PRACTICE OF TIAN JIN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14718 Primary Status: Cancelled
Address :
788 E. WALNUT STREET
PASADENA CA 91101
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: JIN DENTAL AESTHETICS DENTAL OFFICE OF TIAN JIN DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 17743 Primary Status: Expired
Address :
788 E. WALNUT ST
PASADENA CA 91101
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: DENTEX DENTAL STUDIO DENTAL PRACTICE OF TIAN JIN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14718 Primary Status: Cancelled
Address :
788 E. WALNUT STREET
PASADENA CA 91101
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: JIN DENTAL AESTHETICS DENTAL OFFICE OF TIAN JIN DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 17743 Primary Status: Expired
Address :
788 E. WALNUT ST
PASADENA CA 91101
LOS ANGELES COUNTY
