Dental Board of California
Licensing details for: 35925
Name: KOO, DAVID C
License Type: Dentist
Primary Status: Voluntary Surrendered
Secondary Status: Reduced Renewal Fee
Address of Record
3230 SANTA ANITA
SOUTH EL MONTE CA 91733
LOS ANGELES 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: DAVID C. KOO, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9853 Primary Status: Current - Active
Address :
3230 SOUTH SANTA ANITA AVENUE
EL MONTE CA 91773
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: ARCADIA DENTAL GROUP, DAVID C. KOO, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7919 Primary Status: Cancelled
Address :
111 E. LIVE OAK AVENUE
ARCADIA CA 91006
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: EL MONTE DENTAL CENTER
License/Registration Type: Fictitious Name Permit
License Number: 2054 Primary Status: Current - Active
Address :
OFFICE OF DAVID C. KOO,DDS
3230 SANTA ANITA AVE
EL MONTE CA 91733
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: ARCADIA DENTAL GROUP, DAVID C. KOO, DDS. INC.
License/Registration Type: Fictitious Name Permit
License Number: 8109 Primary Status: Cancelled
Address :
111 E LIVE OAK AVENUE
ARCADIA CA 91006
LOS ANGELES COUNTY
