Dental Board of California
Licensing details for: 496
Name: TAN, MINTRA
License Type: Conscious Sedation
Primary Status: Cancelled
Address not disclosed
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: TAN, MINTRA
License/Registration Type: Dentist License
License Number: 53108 Primary Status: Current - Active
Address Not Disclosed
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHILDREN'S DENTAL PLANET, DENTAL GROUP OF TAN, DDS AND TRAN, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 10523 Primary Status: Current - Active
Address :
151 S. MEDNIK AVENUE
LOS ANGELES CA 90022
LOS ANGELES COUNTY
