Dental Board of California
Licensing details for: 11837
Name: EL PORTAL DENTAL GROUP, LE-NGUYEN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
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: NGUYEN, KHANG CONG
License/Registration Type: Dentist License
License Number: 51984 Primary Status: Current - Active
Address :
3393 G. STREET, Suite B
MERCED CA 95340
MERCED COUNTY
