Dental Board of California
Licensing details for: 5336
Name: EL PORTAL DENTAL GROUP, LE-NGUYEN DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
3385 G STREET, STE B
MERCED CA 95340
MERCED 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: LE, THONG BA
License/Registration Type: Dentist License
License Number: 52076 Primary Status: Current - Active
Address :
1648 JOSEPH ST
LIVINGSTON CA 95334
MERCED COUNTY
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, KHANG CONG
License/Registration Type: Dentist License
License Number: 51984 Primary Status: Current - Active
Address :
3393 G. STREET, Suite B
MERCED CA 95340
MERCED COUNTY
