Dental Board of California
Licensing details for: 583
Name: TON, THANH TAM NU
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
1148 S ROWAN AVE SUITE #1
LOS ANGELES CA 90023
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: AFC DENTAL GROUP OF TON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 3670 Primary Status: Cancelled
Address :
1201 EAST FLORENCE AVE
LOS ANGELES CA 90001
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: TON, THANH TAM NU
License/Registration Type: Dentist License
License Number: 46338 Primary Status: Current - Active
Address :
1148 S Rowan Ave Ste 1
LOS ANGELES CA 90023-3360
LOS ANGELES COUNTY
