Dental Board of California
Licensing details for: 10523
Name: CHILDREN'S DENTAL PLANET, DENTAL GROUP OF TAN, DDS AND TRAN, DDS,
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CHILDREN'S DENTAL PLANET DENTAL GROUP OF TAN, DDS AND TRAN, DDS, INC.
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TAN, MINTRA
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: TAN, MINTRA
License/Registration Type: Dentist License
License Number: 53108 Primary Status: Current - Active
Address Not Disclosed
