Dental Board of California
Licensing details for: 79132
Name: QUAN THIEN MA DDS
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Sole Owner
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: MA, QUAN T
License/Registration Type: Dentist License
License Number: 62908 Primary Status: Current - Active
Address :
6635 FLANDERS DRIVE SUITE E
SAN DIEGO CA 92121
SAN DIEGO COUNTY
