Dental Board of California
Licensing details for: 101695
Name: WONG, MICHAEL GAHAO
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
12735 Salinaz Dr
GARDEN GROVE CA 92843-4224
ORANGE 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: MICHAEL WONG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80729 Primary Status: Current - Active
Address :
11549 SOUTH STREET
CERRITOS CA 90703
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CERRITOS SMILES DENTISTRY DENTAL GROUP, MICHAEL WONG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16159 Primary Status: Current - Active
Address :
11549 SOUTH STREET
CERRITOS CA 90703
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: CERRITOS SMILES DENTISTRY DENTAL GROUP, MICHAEL WONG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16159 Primary Status: Current - Active
Address :
11549 SOUTH STREET
CERRITOS CA 90703
LOS ANGELES COUNTY
