Dental Board of California
Licensing details for: 7619
Name: CREEKSIDE DENTAL PRACTICE OF DARRON TANIOKA, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: CREEKSIDE DENTAL
Address of Record
41785 NICOLE LANE
STE. 3
TEMECULA CA 92591
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TANIOKA, DARRON TOMOKI
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HOANG, ANDY TRONG
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: HOANG, ANDY TRONG
License/Registration Type: Dentist License
License Number: 47626 Primary Status: Current - Active
Address :
403 FELICITA AVE`
ESCONDIDO CA 92025
SAN DIEGO 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: TANIOKA, DARRON TOMOKI
License/Registration Type: Dentist License
License Number: 48686 Primary Status: Current - Active
Address :
41785 Nicole Ln Ste A3
TEMECULA CA 92591-3874
RIVERSIDE COUNTY
