Dental Board of California
Licensing details for: 36345
Name: CHAN, STEPHEN LEE
License Type: Dentist
Primary Status: Current - Active
Address of Record
4700 SPRING STREET, SUITE 210
LA MESA CA 91942-0026
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE HAVEN DENTAL CENTER, A DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 2993 Primary Status: Current - Active
Address :
4700 SPRING STREET SUITE 210
LA MESA CA 91941
SAN DIEGO 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 HAVEN DENTAL CENTER, A DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 2993 Primary Status: Current - Active
Address :
4700 SPRING STREET SUITE 210
LA MESA CA 91941
SAN DIEGO COUNTY
