Dental Board of California
Licensing details for: 12080
Name: A TIEU DDS AND W PENG DDS INC.
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: PENG, WILLARD JAMES
License/Registration Type: Dentist License
License Number: 59666 Primary Status: Current - Active
Address :
30520 Rancho California Rd
Suite #A-105
Suite#A-105
TEMECULA CA 92591-3212
RIVERSIDE 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: TIEU, ANDY LIANG
License/Registration Type: Dentist License
License Number: 49228 Primary Status: Current - Active
Address :
6790 TOP GUN ST. SUITE #5
SAN DIEGO CA 92121
SAN DIEGO COUNTY
