Dental Board of California
Licensing details for: 19893
Name: Mini Tooth Kids Dentistry Dental office
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: MINI TOOTH KIDS DENTISTRY
Address of Record
2411 S Grove Ave
ONTARIO CA 91761
SAN BERNARDINO county
Map
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: CHUNG, AVA PEI
License/Registration Type: Dentist License
License Number: 63177 Primary Status: Current - Active
Address Not Disclosed
