Dental Board of California
Licensing details for: 17480
Name: PACIFIC DENTAL OFFICE OF DR LE AND DR TONG
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Partnership
Previous Names: PACIFIC DENTAL DR LE AND DR TONG
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LE, TIM KHUONG
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TONG, CHRISTOPHER N
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: TONG, CHRISTOPHER N
License/Registration Type: Dentist License
License Number: 43664 Primary Status: Current - Active
Address :
9330 Mira Mesa Blvd Ste B
SAN DIEGO CA 92126-4822
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: LE, TIM KHUONG
License/Registration Type: Dentist License
License Number: 42841 Primary Status: Current - Active
Address :
9330 B MIRA MESA BLVD
SAN DIEGO CA 92126
SAN DIEGO COUNTY
