Dental Board of California
Licensing details for: 100389
Name: LEONG, JESSICA LIM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
2710 E. Carson St.
LAKEWOOD CA 90712
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: LEONG AND PANDHOH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80395 Primary Status: Cancelled
Address :
2710 E. CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF LAKEWOOD LEONG AND PANDHOH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15475 Primary Status: Expired
Address :
2710 E. CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF LAKEWOOD LEONG AND PANDHOH DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15475 Primary Status: Expired
Address :
2710 E. CARSON STREET
LAKEWOOD CA 90712
LOS ANGELES COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: CARAVEO, MIRIAM
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 763 Primary Status: Current - Active
Address Not Disclosed
