Dental Board of California
Licensing details for: 17134
Name: CARNELIAN FAMILY DENTAL GEORGE J. TAO, DDS., INC.
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: 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
