Dental Board of California
Licensing details for: 6612
Name: TUSTIN COMMUNITY DENTISTRY, DENTAL OFFICE OF TRAN & NGUYEN, A PRO
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: TUSTIN COMMUNITY DENTISTRY
Address of Record
13400 NEWPORT AVE.
STE. B
TUSTIN CA 92780
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TRAN, KAREN CAM
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, KAREN CAM
License/Registration Type: Dentist License
License Number: 51146 Primary Status: Current - Active
Address :
841 w 19 st
# c
COSTA MESA CA 92627
ORANGE COUNTY
