Dental Board of California
Licensing details for: 4705
Name: PREMIER DENTAL, DENTAL PRACTICE OF JONATHAN C NGUYEN,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
4575 EL CAJON BLVD, STE A
SAN DIEGO CA 92115
SAN DIEGO 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, JONATHAN CHUONG LE
License/Registration Type: Dentist License
License Number: 51099 Primary Status: Current - Active
Address :
11490 McDowell Ct
SAN DIEGO CA 92131-6127
SAN DIEGO COUNTY
