Dental Board of California
Licensing details for: 49928
Name: LEE, KEUN CHAN
License Type: Dentist
Primary Status: Current - Active
Address of Record
8581 MONTICELLO AVE
BUENA PARK CA 90621
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: KEUN CHAN LEE, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 8513 Primary Status: Cancelled
Address :
12531 E CARSON ST
HAWAIIAN GARDENS CA 90716
LOS ANGELES COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: LEE, KEUN CHAN
License/Registration Type: Conscious Sedation Permit
License Number: 816 Primary Status: Cancelled
Address :
8581 MONTICELLO AVE
BUENA PARK CA 90621
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GARDENS DENTAL SPA, DENTAL PRACTICE OF DR. KEUN LEE
License/Registration Type: Fictitious Name Permit
License Number: 12136 Primary Status: Cancelled
Address :
12531 EAST CARSON STREET
HAWAIIAN GARDENS CA 90716
LOS ANGELES 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: GARDENS DENTAL SPA, DENTAL PRACTICE OF DR. KEUN LEE
License/Registration Type: Fictitious Name Permit
License Number: 12136 Primary Status: Cancelled
Address :
12531 EAST CARSON STREET
HAWAIIAN GARDENS CA 90716
LOS ANGELES COUNTY
