Dental Board of California
Licensing details for: 56385
Name: CHONG, OTIS TUM
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
30190 Town Center Dr Ste B
LAGUNA NIGUEL CA 92677-2049
ORANGE county
Map
License Relationships
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: CHONG, OTIS TUM
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2712 Primary Status: Expired
Address :
30190 Town Center Dr
Suite B
LAGUNA NIGUEL CA 92677-2049
ORANGE COUNTY
