Dental Board of California
Licensing details for: 6777
Name: LAS TUNAS FAMILY DENTAL GROUP, ISAAC J. CHEN, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Address of Record
1107 E. LAS TUNAS DR.
SAN GABRIEL CA 91776
LOS ANGELES 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: CHEN, ISAAC JIN-WEI
License/Registration Type: Dentist License
License Number: 36069 Primary Status: Current - Active
Address :
2071 S Atlantic Blvd
SUITE F&G
MONTEREY PARK CA 91754-6347
LOS ANGELES COUNTY



