Dental Board of California
Licensing details for: 4301
Name: DENTISTRY FOR KIDDS, A DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
14591 NEWPORT AVE, STE 108
TUSTIN CA 92780
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LE, TRA THANH
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: LE, TRA THANH
License/Registration Type: Dentist License
License Number: 43542 Primary Status: Current - Active
Address :
17541 IRVINE BLVD #A
TUSTIN CA 92780
ORANGE COUNTY
