Dental Board of California
Licensing details for: 5199
Name: ANAHEIM DENTAL SPECIALISTS OFFICE, DENTAL OFFICE OF
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
633 N EUCLID ST
ANAHEIM CA 92801
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LE, CHUCK TRUC
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LE, CHUCK TRUC TRONG
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, CHUCK TRUC TRONG
License/Registration Type: Dentist License
License Number: 37342 Primary Status: Current - Active
Address :
2265 W Lincoln Ave
Anaheim
ANAHEIM CA 92801-6503
ORANGE COUNTY
