Dental Board of California
Licensing details for: 5615
Name: BOUQUET SMILE DENTAL, DENTAL GROUP OF BRANDON THAI,
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
28100 BOUQUET CANYON RD, STE 200
SAUGUS CA 91350
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: THAI, BRANDON
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: THAI, BRANDON TUAN
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: THAI, BRANDON TUAN
License/Registration Type: Dentist License
License Number: 49227 Primary Status: Current - Active
Address :
28100 bouquet canyon road
Suite 200
SAUGUS CA 91350
LOS ANGELES COUNTY
