
Dental Board of California
Licensing details for: 1224
Name: LAS TUNAS FAMILY DENTAL GROUP, ISAAC CHEN, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
1107 E LAS TUNAS DRIVE
SAN GABRIEL CA 91776
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHEN, ISAAC JIN-WEI
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TAO, GEORGE JI-JUN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LIN, CHRIS CHIHCHUN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TAO, GEORGE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LIN, CHIH-CHUN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHEN, ISAAC
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: TAO, GEORGE JI-JUN
License/Registration Type: Dentist License
License Number: 42703 Primary Status: Current - Active
Address :
9588 Base Line Rd
Suite 100
ALTA LOMA CA 91701-6439
SAN BERNARDINO COUNTY
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: CHEN, ISAAC JIN-WEI
License/Registration Type: Dentist License
License Number: 36069 Primary Status: Current - Active
Address :
2071 S Atlantic Blvd
SUITE F&G
MONTEREY PARK CA 91754-6347
LOS ANGELES COUNTY
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: LIN, CHRIS CHIHCHUN
License/Registration Type: Dentist License
License Number: 40847 Primary Status: Current - Inactive
Address :
9288 Positano Ln
GERMANTOWN TN 38138-7393
SHELBY COUNTY