Dental Board of California
Licensing details for: 45218
Name: YOON, ANNA
License Type: Dentist
Primary Status: Cancelled
Secondary Status: Dental License is not valid for practice
Address not disclosed
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BAYSIDE DENTAL CARE, DENTAL PRACTICE OF ANNA YOON, DDS
License/Registration Type: Fictitious Name Permit
License Number: 4606 Primary Status: Cancelled
Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
SAN MATEO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MILLBRAE DENTAL CENTER, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 3994 Primary Status: Cancelled
Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
SAN MATEO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MILLBRAE DENTAL CENTER, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4147 Primary Status: Cancelled
Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
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: MILLBRAE DENTAL CENTER, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 3994 Primary Status: Cancelled
Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
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: MILLBRAE DENTAL CENTER, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4147 Primary Status: Cancelled
Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
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: BAYSIDE DENTAL CARE, DENTAL PRACTICE OF ANNA YOON, DDS
License/Registration Type: Fictitious Name Permit
License Number: 4606 Primary Status: Cancelled
Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
SAN MATEO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: YOON, ANNA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 193 Primary Status: Cancelled
Address :
1247 ANZA STREET
SAN FRANCISCO CA 94118
SAN FRANCISCO COUNTY
