Dental Board of California
Licensing details for: 11116
Name: KAI FAMILY DENTISTRY, DENTAL PRACTICE OF LYNDA TRAN-CLARK, DDS, I
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Previous Names: KAI FAMILY DENTISTRY PRACTICE OF DR. LYNDA TRAN
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRAN, LYNDA THUY
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, LYNDA THUY
License/Registration Type: Dentist License
License Number: 59477 Primary Status: Current - Active
Address :
849 Almar Avenue
Ste 270
SANTA CRUZ CA 95060
SANTA CRUZ COUNTY
