Dental Board of California
Licensing details for: 15742
Name: YOUR SMILE DESIGNER DENTAL PRACTICE OF LE DENTAL GROUP
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, TRAM KIM
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, TRAM KIM
License/Registration Type: Dentist License
License Number: 54971 Primary Status: Current - Active
Address :
26045 Newport Rd
#B
MENIFEE CA 92584-7317
RIVERSIDE COUNTY
