Dental Board of California
Licensing details for: 17641
Name: PREMIER DENTAL, DENTAL OFFICE OF JONATHAN C. NGUYEN, DDS
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: NGUYEN, JONATHAN CHUONG LE
License/Registration Type: Dentist License
License Number: 51099 Primary Status: Current - Active
Address :
11490 McDowell Ct
SAN DIEGO CA 92131-6127
SAN DIEGO COUNTY



