Dental Board of California
Licensing details for: 13867
Name: PARK WEST DENTAL GROUP, OFFICE OF QUAN MA AND TOM BIERMAN
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MA, QUAN T
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BIERMAN, THOMAS FRANK
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: BIERMAN, THOMAS FRANK
License/Registration Type: Dentist License
License Number: 62967 Primary Status: Current - Active
Address :
6635 Flanders Dr Ste E
SAN DIEGO CA 92121-2978
SAN DIEGO 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: MA, QUAN T
License/Registration Type: Dentist License
License Number: 62908 Primary Status: Current - Active
Address :
6635 FLANDERS DRIVE SUITE E
SAN DIEGO CA 92121
SAN DIEGO COUNTY
