Dental Board of California
Licensing details for: 49384
Name: PARK, KWANG SEO
License Type: Dentist
Primary Status: Current - Active
Address of Record
3023 Bunker Hill St Ste 101
SAN DIEGO CA 92109-5706
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION BAY FAMILY DENTISTRY, DENTAL PRACTICE OF KWANG S. PARK,
License/Registration Type: Fictitious Name Permit
License Number: 7060 Primary Status: Cancelled
Address :
3023 BUNKER HILL STREET, STE. 101
SAN DIEGO CA 92109
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: MISSION BAY FAMILY DENTISTRY, DENTAL PRACTICE OF KWANG S. PARK,
License/Registration Type: Fictitious Name Permit
License Number: 7060 Primary Status: Cancelled
Address :
3023 BUNKER HILL STREET, STE. 101
SAN DIEGO CA 92109
SAN DIEGO COUNTY
