Dental Board of California
Licensing details for: 10975
Name: KATELLA DENTAL CENTER, DENTAL OFFICE OF KIM-THANH T. TRAN, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRAN, KIM-THANH THI
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: TRAN, KIM-THANH THI
License/Registration Type: Dentist License
License Number: 37610 Primary Status: Expired
Address :
18552 GARNET LN
HUNTINGTON BEACH CA 92648
ORANGE COUNTY
