Dental Board of California
Licensing details for: 102249
Name: CHEN, MICHELLE GARY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
11 Heritage Dr
SAN RAFAEL CA 94901-8309
MARIN county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WINNING SMILE DENTAL GROUP DENTAL OFFICE OF DR. MICHELLE CHEN
License/Registration Type: Fictitious Name Permit
License Number: 18804 Primary Status: Current - Active
Address :
12732 SAN PABLO AVE
RICHMOND CA 94805
CONTRA COSTA 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: WINNING SMILE DENTAL GROUP DENTAL OFFICE OF DR. MICHELLE CHEN
License/Registration Type: Fictitious Name Permit
License Number: 18804 Primary Status: Current - Active
Address :
12732 SAN PABLO AVE
RICHMOND CA 94805
CONTRA COSTA COUNTY
