Dental Board of California
Licensing details for: 9638
Name: PURE GOLD PROFESSIONALS IN DENTISTRY, A DENTAL GROUP OF THERON L.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: PURE GOLD PROFESSIONALS IN DENTISTRY
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VINES, THERON LANE JR
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: VINES, THERON LANE JR
License/Registration Type: Dentist License
License Number: 34009 Primary Status: Current - Active
Address :
303 BROOKSIDE
REDLANDS CA 92373
SAN BERNARDINO COUNTY
