Dental Board of California
Licensing details for: 56290
Name: PARK, BOJUN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1112 S Bristol St
SANTA ANA CA 92704-3420
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NORTHGATE DENTAL OFFICE, BOJUN PARK, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 13589 Primary Status: Current - Active
Address :
1112 S BRISTOL ST
SANTA ANA CA 92704
ORANGE 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: NORTHGATE DENTAL OFFICE, BOJUN PARK, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 13589 Primary Status: Current - Active
Address :
1112 S BRISTOL ST
SANTA ANA CA 92704
ORANGE COUNTY
