Dental Board of California
Licensing details for: 101614
Name: PARK, MYUNG KEE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
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: Dental Group of Smile Builder
License/Registration Type: Fictitious Name Permit
License Number: 20041 Primary Status: Current - Active
Address :
473 E Alessandro blvd ste A
RIVERSIDE CA 92508
RIVERSIDE 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: MORENO BEACH DENTAL PRACTICE OF MYUNG KEE PARK DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 18598 Primary Status: Current - Active
Address :
14435 MORENO BEACH DR 108
MORENO VALLEY CA 92555-8704
RIVERSIDE COUNTY
