Dental Board of California
Licensing details for: 56339
Name: PARK, KYUNGSIN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
285 E ALESSANDRO BL #7D
RIVERSIDE CA 92508
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION GROVE DENTISTRY, DENTAL OFFICE OF KYUNG SIN PARK, DDS
License/Registration Type: Fictitious Name Permit
License Number: 11846 Primary Status: Cancelled
Address :
285 E ALESSANDRO BLVD 7D
RIVERSIDE CA 92508
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION GROVE DENTISTRY, DENTAL OFFICE OF DR KYUNGSIN PARK, DDS
License/Registration Type: Fictitious Name Permit
License Number: 10725 Primary Status: Cancelled
Address :
285 E. ALESSANDRO BLVD SUITE 7D
RIVERSIDE CA 92508
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MISSION GROVE DENTISTRY DENTAL OFFICE OF KYUNGSIN PARK DDS.
License/Registration Type: Fictitious Name Permit
License Number: 14592 Primary Status: Expired
Address :
285 E ALESSANDRO BLVD 7D,
RIVERSIDE CA 92508
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: MISSION GROVE DENTISTRY DENTAL OFFICE OF KYUNGSIN PARK DDS.
License/Registration Type: Fictitious Name Permit
License Number: 14592 Primary Status: Expired
Address :
285 E ALESSANDRO BLVD 7D,
RIVERSIDE CA 92508
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: MISSION GROVE DENTISTRY, DENTAL OFFICE OF DR KYUNGSIN PARK, DDS
License/Registration Type: Fictitious Name Permit
License Number: 10725 Primary Status: Cancelled
Address :
285 E. ALESSANDRO BLVD SUITE 7D
RIVERSIDE CA 92508
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: MISSION GROVE DENTISTRY, DENTAL OFFICE OF KYUNG SIN PARK, DDS
License/Registration Type: Fictitious Name Permit
License Number: 11846 Primary Status: Cancelled
Address :
285 E ALESSANDRO BLVD 7D
RIVERSIDE CA 92508
RIVERSIDE COUNTY
