Dental Board of California
Licensing details for: 11896
Name: DANG, JACKSON AND MOORE DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: MOORE, ANDREA CHRISTIANE
License/Registration Type: Dentist License
License Number: 48337 Primary Status: Current - Active
Address :
1875 N Campus Ave
UPLAND CA 91784-8208
SAN BERNARDINO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DANG, NHAN HOANG
License/Registration Type: Dentist License
License Number: 61620 Primary Status: Current - Active
Address :
9972 Bolsa Ave
#102
WESTMINSTER CA 92683-6069
ORANGE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: JACKSON, TANISHA ANJANETTE
License/Registration Type: Dentist License
License Number: 47103 Primary Status: Current - Active
Address :
422 Orange St
REDLANDS CA 92374-3206
SAN BERNARDINO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: GHAZAL, CAROLYN G
License/Registration Type: Dentist License
License Number: 38682 Primary Status: Current - Active
Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY
