Dental Board of California
Licensing details for: 18402
Name: FULLER SMILES DENTAL PRACTICE OF TARAN REYNOLDS
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: REYNOLDS, TARAN KAUR
License/Registration Type: Dentist License
License Number: 63429 Primary Status: Current - Active
Address :
224 EAST BASELINE RD
RIALTO CA 92376
SAN BERNARDINO COUNTY
