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 Owners
License/Registration Role: Owners
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
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
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: GOLDEN, ANNE
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 787 Primary Status: Current - Active
Address Not Disclosed
