Dental Board of California
Licensing details for: 48531
Name: PARK, CLINTON H
License Type: Dentist
Primary Status: Current - Active
Address of Record
1340 ENCINITAS BLVD
SUITE 100
ENCINITAS CA 92024
SAN DIEGO 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: LAU AND PARK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79713 Primary Status: Cancelled
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO COUNTY
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: PARK AND RYGG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79519 Primary Status: Cancelled
Address :
1340 ENCINITAS BLVD STE 100
ENCINITAS CA 92024
SAN DIEGO COUNTY
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: CLINTON PARK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80190 Primary Status: Current - Active
Address :
2635 GATEWAY ROAD, SUITE 101
CARLSBAD CA 92009
SAN DIEGO COUNTY
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: CLINTON PARK, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80191 Primary Status: Current - Active
Address :
1340 ENCINITAS BLVD., SUITE 100
ENCINITAS CA 92024
SAN DIEGO COUNTY
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: CLINTON PARK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79434 Primary Status: Cancelled
Address :
2635 GATEWAY RD STE 101
CARLSBAD CA 92009
SAN DIEGO COUNTY
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: CLINTON H. PARK, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 79039 Primary Status: Cancelled
Address :
415 Santa Fe Dr
ENCINITAS CA 92024-5134
SAN DIEGO COUNTY
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: LAU AND PARK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80199 Primary Status: Current - Active
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CAMINO DENTAL GROUP, PARK AND RYGG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13854 Primary Status: Cancelled
Address :
1340 ENCINITAS BLVD STE 100
ENCINITAS CA 92024
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENCINITAS SMILES DENTISTRY DENTAL GROUP LAU AND PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15138 Primary Status: Current - Active
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENCINITAS SMILES DENTISTRY DENTAL GROUP LAU AND PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14293 Primary Status: Cancelled
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GATEWAY DENTAL GROUP, CLINTON PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13732 Primary Status: Cancelled
Address :
2635 GATEWAY RD STE 101
CARLSBAD CA 92009
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CAMINO DENTAL GROUP CLINTON PARK, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15142 Primary Status: Current - Active
Address :
1340 ENCINITAS BLVD., SUITE 100
ENCINITAS CA 92024
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GATEWAY DENTAL GROUP CLINTON PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16770 Primary Status: Current - Active
Address :
2635 GATEWAY ROAD., SUITE 101
CARLSBAD CA 92009
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENCINITAS SMILES DENTISTRY DENTAL GROUP CLINTON H. PARK, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 12935 Primary Status: Cancelled
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO 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: ENCINITAS SMILES DENTISTRY DENTAL GROUP LAU AND PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15138 Primary Status: Current - Active
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO 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: CAMINO DENTAL GROUP CLINTON PARK, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15142 Primary Status: Current - Active
Address :
1340 ENCINITAS BLVD., SUITE 100
ENCINITAS CA 92024
SAN DIEGO 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: CAMINO DENTAL GROUP, PARK AND RYGG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13854 Primary Status: Cancelled
Address :
1340 ENCINITAS BLVD STE 100
ENCINITAS CA 92024
SAN DIEGO 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: ENCINITAS SMILES DENTISTRY DENTAL GROUP LAU AND PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14293 Primary Status: Cancelled
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO 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: GATEWAY DENTAL GROUP, CLINTON PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13732 Primary Status: Cancelled
Address :
2635 GATEWAY RD STE 101
CARLSBAD CA 92009
SAN DIEGO 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: ENCINITAS SMILES DENTISTRY DENTAL GROUP CLINTON H. PARK, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 12935 Primary Status: Cancelled
Address :
415 SANTA FE DRIVE
ENCINITAS CA 92024
SAN DIEGO 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: GATEWAY DENTAL GROUP CLINTON PARK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16770 Primary Status: Current - Active
Address :
2635 GATEWAY ROAD., SUITE 101
CARLSBAD CA 92009
SAN DIEGO COUNTY
