Dental Board of California
Licensing details for: 34213
Name: SHIN, ANDREW WOOCHUL
License Type: Dentist
Primary Status: Current - Active
Previous Names: SHIN, WOO C ❖ SHIN, ANDREW WOODWARD
Address of Record
14880 7TH ST #1
VICTORVILLE CA 92395
SAN BERNARDINO 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: WOO CHUL SHIN, DDS
License/Registration Type: Additional Office Permit
License Number: 7279 Primary Status: Cancelled
Address :
14238 VALLEY CENTER DRIVE #104
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
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: WOO CHUL SHIN, DDS
License/Registration Type: Additional Office Permit
License Number: 5165 Primary Status: Cancelled
Address :
17100 BEAR VALLEY RD, STE N
VICTORVILLE CA 92392
SAN BERNARDINO COUNTY
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: SMILE DENTAL GROUP & ORTHODONTICS,
License/Registration Type: Additional Office Permit
License Number: 7618 Primary Status: Cancelled
Address :
2508 E PALMDALE
PALMDALE CA 93550
LOS ANGELES COUNTY
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: SMILE DENTAL GROUP & ORTHODONTICS
License/Registration Type: Additional Office Permit
License Number: 7603 Primary Status: Cancelled
Address :
2508 E PALMDALE
PALMDALE CA 93550
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: DR SHIN'S VALLEY DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 1566 Primary Status: Cancelled
Address :
15080 7TH STREET STE 7
VICTORVILLE CA 92392
SAN BERNARDINO 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: SMILE DENTAL GROUP & ORTHODONTICS,
License/Registration Type: Fictitious Name Permit
License Number: 3521 Primary Status: Cancelled
Address :
2508 E PALMDALE BLVD
PALMDALE CA 93550
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: DR. SHIN'S SMILE DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3052 Primary Status: Cancelled
Address :
14238 VALLEY CENTER DRIVE
VICTORVILLE CA 92392
SAN BERNARDINO 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: DR SHIN'S VALLEY DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 13000 Primary Status: Current - Active
Address :
14880 7TH STREET, SUITE I
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
