Dental Board of California
Licensing details for: 11199
Name: 123 DENTAL, DENTAL OFFICE OF TOMMY C. LE, D.D.S., A PROFESSIONAL
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LE, TOMMY CUONG
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: LE, TOMMY CUONG
License/Registration Type: Dentist License
License Number: 57630 Primary Status: Current - Active
Address :
1641 E 17th St
Suite B
SANTA ANA CA 92705-8535
ORANGE COUNTY
