Dental Board of California
Licensing details for: 51048
Name: CHANG, PHILIP MINSUK
License Type: Dentist
Primary Status: Current - Active
Previous Names: CHANG, MIN SUK
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: MIN SUK CHANG, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 9767 Primary Status: Cancelled
Address :
2332 W. WHITTIER BLVD.
MONTEBELLO CA 90640
LOS ANGELES 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: PHILIP CHANG, DDS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80763 Primary Status: Current - Active
Address :
1611 CRENSHAW BLVD #C
TORRANCE CA 90501
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONTEBELLO DENTAL CENTER DENTAL GROUP OF PHILIP MINSUK CHANG. D.D.S. INC
License/Registration Type: Fictitious Name Permit
License Number: 14835 Primary Status: Current - Active
Address :
2453 W BEVERLY BLVD
MONTEBELLO CA 90640
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONTEBELLO DENTAL CENTER, DENTAL OFFICE OF PHILIP MINSUK CHANG, D
License/Registration Type: Fictitious Name Permit
License Number: 7918 Primary Status: Cancelled
Address :
2332 W. WHITTIER BOULEVARD
MONTEBELLO CA 90640
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CREATE SMILES DENTAL, DENTAL GROUP OF PHILIP CHANG, DDS DENTAL CORPORATION.
License/Registration Type: Fictitious Name Permit
License Number: 15997 Primary Status: Current - Active
Address :
1611 CRENSHAW BLVD #C
TORRANCE CA 90501
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: CREATE SMILES DENTAL, DENTAL GROUP OF PHILIP CHANG, DDS DENTAL CORPORATION.
License/Registration Type: Fictitious Name Permit
License Number: 15997 Primary Status: Current - Active
Address :
1611 CRENSHAW BLVD #C
TORRANCE CA 90501
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: MONTEBELLO DENTAL CENTER DENTAL GROUP OF PHILIP MINSUK CHANG. D.D.S. INC
License/Registration Type: Fictitious Name Permit
License Number: 14835 Primary Status: Current - Active
Address :
2453 W BEVERLY BLVD
MONTEBELLO CA 90640
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: MONTEBELLO DENTAL CENTER, DENTAL OFFICE OF PHILIP MINSUK CHANG, D
License/Registration Type: Fictitious Name Permit
License Number: 7918 Primary Status: Cancelled
Address :
2332 W. WHITTIER BOULEVARD
MONTEBELLO CA 90640
LOS ANGELES COUNTY
