Dental Board of California
Licensing details for: 53114
Name: YOON, AUDREY JUNG-SUN
License Type: Dentist
Primary Status: Current - Active
Previous Names: YOON, JUNG SUN
Address of Record
3460 WILSHIRE BL #104
LOS ANGELES CA 90010
LOS ANGELES 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: AUDREY JUNG-SUN YOON DDS MS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11314 Primary Status: Current - Active
Address :
16424 BELLFLOWER BLVD
BELLFLOWER CA 90706
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE DENTAL CENTER, DENTAL GROUP OF AUDREY JUNG-SUN YOON, DDSMS,
License/Registration Type: Fictitious Name Permit
License Number: 9027 Primary Status: Cancelled
Address :
217 DE ANZA BOULEVARD
SAN MATEO CA 94402
SAN MATEO 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: SMILE DENTAL CENTER, DENTAL GROUP OF AUDREY JUNG-SUN YOON, DDSMS,
License/Registration Type: Fictitious Name Permit
License Number: 9027 Primary Status: Cancelled
Address :
217 DE ANZA BOULEVARD
SAN MATEO CA 94402
SAN MATEO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: YOON, AUDREY JUNG-SUN
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1750 Primary Status: Cancelled
Address :
3460 WILSHIRE BL #104
LOS ANGELES CA 90010
LOS ANGELES COUNTY
