Dental Board of California
Licensing details for: 45270
Name: HSZIEH, KEVIN CHIH WEN
License Type: Dentist
Primary Status: Current - Active
Address of Record
600 Corporate Dr
Suite 200
LADERA RANCH CA 92694-2106
ORANGE county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: HSZIEH AND LEE PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8303 Primary Status: Current - Active
Address :
600 CORPORATE DR, STE 200
LADERA RANCH CA 92694
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LADERA RANCH PEDIATRIC DENTISTRY, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5011 Primary Status: Current - Active
Address :
600 CORPORATE DR, STE 200
LADERA RANCH CA 92694
ORANGE 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: LADERA RANCH PEDIATRIC DENTISTRY, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5011 Primary Status: Current - Active
Address :
600 CORPORATE DR, STE 200
LADERA RANCH CA 92694
ORANGE 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: HSZIEH, KEVIN CHIH WEN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 578 Primary Status: Cancelled
Address :
11 GOLDEN STAR
IRVINE CA 92604
ORANGE COUNTY
