California
Department of Consumer Affairs
TRAN TIN Q
Dental License
License number
63972
Date granted
08/20/2014
Date expires
09/30/2017
Class
Dental License
Status
Current
Address
1730 CASTLEGATE DRIVE SAN JOSE CA 95132
californialicensing.org
ID 19800207
LAST UPDATED 2026-06-05 19:31:28 UTC
LAST UPDATED 2026-06-05 19:31:28 UTC
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