Dental Board of California
Licensing details for: 3338
Name: AT-EASE DENTISTRY DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
11155 TAMPA AVENUE
NORTHRIDGE CA 91326
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRAN, TAM-HUONG NGOC
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: TRAN, TAM-HUONG NGOC
License/Registration Type: Dentist License
License Number: 42434 Primary Status: Current - Active
Address :
13362 Newport Ave
Ste D
TUSTIN CA 92780-3427
ORANGE COUNTY
