Dental Board of California
Licensing details for: 40737
Name: SUN, BAO-LAN
License Type: Dentist
Primary Status: Current - Active
Address of Record
23450 Lyons Ave Ste B
NEWHALL CA 91321-5780
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HACIENDA VALLEY FAMILY DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 1075 Primary Status: Cancelled
Address :
JULIA S GO DDS
161 S HACIENDA BLVD
CITY OF INDUSTRY CA 91744
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: HACIENDA VALLEY FAMILY DENTISTRY
License/Registration Type: Fictitious Name Permit
License Number: 1075 Primary Status: Cancelled
Address :
JULIA S GO DDS
161 S HACIENDA BLVD
CITY OF INDUSTRY CA 91744
LOS ANGELES COUNTY
