License Relationships
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: BREA FAMILY DENTAL CENTER, DENTAL GROUP OF KALVIN CHEN, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 6215 Primary Status: Cancelled
Address :
903 S. BREA BLVD.
BREA CA 92821
ORANGE COUNTY
