Dental Board of California
Licensing details for: 639
Name: TANG, SOPHEAP
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
18876 Van Buren Blvd.
STE 107
RIVERSIDE CA 92508
RIVERSIDE county
Map
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: TANG, SOPHEAP
License/Registration Type: Dentist License
License Number: 56393 Primary Status: Current - Active
Address :
18876 Van Buren Blvd.
STE 107
RIVERSIDE CA 92508
RIVERSIDE COUNTY



