Dental Board of California
Licensing details for: 41166
Name: CHAN, POLLY CHUNG-PEI
License Type: Dentist
Primary Status: Current - Active
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FAMILY DENTAL PRACTICE OF POLLY CHAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8547 Primary Status: Expired
Address :
581 Foster City Blvd
FOSTER CITY CA 94404-1695
SAN MATEO 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: FAMILY DENTAL PRACTICE OF POLLY CHAN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 8547 Primary Status: Expired
Address :
581 Foster City Blvd
FOSTER CITY CA 94404-1695
SAN MATEO COUNTY
