Dental Board of California
Licensing details for: 14718
Name: DENTEX DENTAL STUDIO DENTAL PRACTICE OF TIAN JIN, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JIN, TIAN
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: JIN, TIAN
License/Registration Type: Dentist License
License Number: 64980 Primary Status: Current - Active
Address :
788 E Walnut St
PASADENA CA 91101-1638
LOS ANGELES COUNTY
