Dental Board of California
Licensing details for: 6479
Name: DATE DENTAL.COM, DENTAL OFFICE OF KIET TRAN, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: DATE DENTAL.COM
Address of Record
26636 MARGARITA RD.
STE. 102
MURRIETA CA 92563
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRAN, KIET MINH
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: TRAN, KIET MINH
License/Registration Type: Dentist License
License Number: 44552 Primary Status: Current - Active
Address :
16027 BROOKHURST ST #I160
FOUNTAIN VALLEY CA 92708
ORANGE COUNTY
