Dental Board of California
Licensing details for: 45002
Name: RUNGCHARASSAENG, KITICHAI
License Type: Dentist
Primary Status: Current - Active
Address of Record
13063 Helen Dr
REDLANDS CA 92373-7434
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BASELINE ORTHODONTICS AND ORAL SURGERY DENTAL PRACTICE OF DRS. RUNGCHARASSAENG AND LEE
License/Registration Type: Fictitious Name Permit
License Number: 17797 Primary Status: Current - Active
Address :
540 W. BASELINE RD SUITE 12
CLAREMONT CA 91711
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: BASELINE ORTHODONTICS AND ORAL SURGERY DENTAL PRACTICE OF DRS. RUNGCHARASSAENG AND LEE
License/Registration Type: Fictitious Name Permit
License Number: 17797 Primary Status: Current - Active
Address :
540 W. BASELINE RD SUITE 12
CLAREMONT CA 91711
LOS ANGELES COUNTY
