Dental Board of California
Licensing details for: 62
Name: LE, TRA THANH
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
17541 IRVINE BLVD #A
TUSTIN CA 92780
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF TRA T. LE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8960 Primary Status: Cancelled
Address :
14591 NEWPORT AVENUE
STE. 108
TUSTIN CA 92780
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4301 Primary Status: Cancelled
Address :
14591 NEWPORT AVE, STE 108
TUSTIN CA 92780
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF TRA T. LE, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 14274 Primary Status: Current - Active
Address :
17541 IRVINE BLVD STE A
TUSTIN CA 92780-3158
ORANGE 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: LE, TRA THANH
License/Registration Type: Dentist License
License Number: 43542 Primary Status: Current - Active
Address :
17541 IRVINE BLVD #A
TUSTIN CA 92780
ORANGE COUNTY
