Dental Board of California
Licensing details for: 4588
Name: CANYON COUNTRY DENTAL GROUP, THORNE & NGUYEN DENTAL CORP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
26877 SIERRA HWY
NEWHALL CA 91321
LOS ANGELES 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: NGUYEN, TERRI TRAM ANH
License/Registration Type: Dentist License
License Number: 43213 Primary Status: Current - Active
Address :
26877 Sierra Hwy
NEWHALL CA 91321-2274
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: THORNE, JOHN MICHAEL
License/Registration Type: Dentist License
License Number: 43868 Primary Status: Cancelled
Address :
26 SOUTH GARDEN ST, STE I
VENTURA CA 93001
VENTURA COUNTY
