Dental Board of California
Licensing details for: 11160
Name: MK DENTAL, OFFICE OF TRAN, D.D.S., PC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: MK DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRAN, PAULINE PHUONG
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, PAULINE PHUONG
License/Registration Type: Dentist License
License Number: 46993 Primary Status: Current - Active
Address :
4365 MEADE AVENUE
SAN DIEGO CA 92116-4816
SAN DIEGO COUNTY
