Dental Board of California
Licensing details for: 101308
Name: WU, JUSTIN YING-CHIN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Residency
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: JUSTIN WU, DDS
License/Registration Type: Additional Office Permit
License Number: 81962 Primary Status: Current - Active
Address :
841 S DORA ST
UKIAH CA 95482
MENDOCINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ADVANCED ENDODONTICS DENTAL PRACTICE OF JUSTIN WU DDS
License/Registration Type: Fictitious Name Permit
License Number: 18956 Primary Status: Current - Active
Address :
1144 SONOMA AVE STE 119
SANTA ROSA CA 95405
SONOMA 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: ADVANCED ENDODONTICS DENTAL PRACTICE OF JUSTIN WU DDS
License/Registration Type: Fictitious Name Permit
License Number: 18956 Primary Status: Current - Active
Address :
1144 SONOMA AVE STE 119
SANTA ROSA CA 95405
SONOMA COUNTY
