Dental Board of California
Licensing details for: 56252
Name: CHUNG, GRACE YOON MI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: CHUNG, YOON MI
Address of Record
27110 EUCALYPTUS AVE
STE A
MORENO VALLEY CA 92555
RIVERSIDE 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: CHUNG AND NOSTI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80193 Primary Status: Current - Active
Address :
27110 EUCALYPTUS AVENUE, SUITE A
MORENO VALLEY CA 92555
RIVERSIDE 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: STONERIDGE DENTAL GROUP, CHUNG AND NOSTI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15141 Primary Status: Current - Active
Address :
27110 EUCALYPTUS AVENUE, SUITE A
MORENO VALLEY CA 92555
RIVERSIDE COUNTY



