Dental Board of California
Licensing details for: 47734
Name: IP, SAMUEL HO-SHUN
License Type: Dentist
Primary Status: Current - Active
Address of Record
30212 TOMAS #210
RANCHO SANTA MARGAR CA 92688
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIGNATURE ENDODONTICS, DENTAL OFFICE OF SAMUEL H IP, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 5677 Primary Status: Expired
Address :
29861 SANTA MARGARTIA PKWY
STE 100
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIGNATURE ENDODONTICS, DENTAL OFFICE OF SAMUEL H IP,
License/Registration Type: Fictitious Name Permit
License Number: 4858 Primary Status: Cancelled
Address :
29839 SANTA MARGARITA PKWY
STE 100A
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIGNATURE ENDODONTICS DENTAL OFFICE OF SAMUEL H. IP DDS
License/Registration Type: Fictitious Name Permit
License Number: 18104 Primary Status: Current - Active
Address :
30212 TOMAS #210
RANCHO SANTA MARGARI CA 92688
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: SIGNATURE ENDODONTICS, DENTAL OFFICE OF SAMUEL H IP,
License/Registration Type: Fictitious Name Permit
License Number: 4858 Primary Status: Cancelled
Address :
29839 SANTA MARGARITA PKWY
STE 100A
RANCHO SANTA MARGARI CA 92688
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: SIGNATURE ENDODONTICS, DENTAL OFFICE OF SAMUEL H IP, DDS,
License/Registration Type: Fictitious Name Permit
License Number: 5677 Primary Status: Expired
Address :
29861 SANTA MARGARTIA PKWY
STE 100
RANCHO SANTA MARGARI CA 92688
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: SIGNATURE ENDODONTICS DENTAL OFFICE OF SAMUEL H. IP DDS
License/Registration Type: Fictitious Name Permit
License Number: 18104 Primary Status: Current - Active
Address :
30212 TOMAS #210
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY
