Dental Board of California
Licensing details for: 103456
Name: SHANG, WYNN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
13234 Jamboree Rd
IRVINE CA 92602-2307
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WYNNING SMILES DENTAL OFFICE OF SHANG DMD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16259 Primary Status: Expired
Address :
13208 MYFORD RD APT 341
TUSTIN CA 92782
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: WYNNING SMILES DENTISTRY DENTAL OFFICE OF SHANG DMD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18196 Primary Status: Expired
Address :
21222 BEACH BLVD
HUNTINGTON BEACH CA 92648-5411
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: WYNNING SMILES DENTISTRY DENTAL OFFICE OF SHANG DMD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18196 Primary Status: Expired
Address :
21222 BEACH BLVD
HUNTINGTON BEACH CA 92648-5411
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: WYNNING SMILES DENTAL OFFICE OF SHANG DMD DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16259 Primary Status: Expired
Address :
13208 MYFORD RD APT 341
TUSTIN CA 92782
ORANGE COUNTY
