Dental Board of California
Licensing details for: 18011
Name: BERNARDO HILLS DENTISTRY DENTAL OFFICE OF DR. KEVIN TAN
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: TAN, KEVIN BRANDON
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: TAN, KEVIN BRANDON
License/Registration Type: Dentist License
License Number: 63870 Primary Status: Current - Active
Address :
10848 Everly Way
SAN DIEGO CA 92129-2018
SAN DIEGO COUNTY
