Dental Board of California
Licensing details for: 8545
Name: TIERRA TOWN DENTAL CENTER, DENTAL PRACTICE OF TRAM K. LE, DDS, IN
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: TIERRA TOWN DENTAL CENTER DENTAL PRACTICE OF TRAM K. LE, D.D.S., INC.
Address of Record
10645 TIERRASANTA BLVD.
STE. B
SAN DIEGO CA 92124
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LE, TRAM KIM
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: LE, TRAM KIM
License/Registration Type: Dentist License
License Number: 54971 Primary Status: Current - Active
Address :
26045 Newport Rd
#B
MENIFEE CA 92584-7317
RIVERSIDE COUNTY
