Dental Board of California
Licensing details for: 56861
Name: LEE, DANIEL HARVEY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by Credential
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11948 Primary Status: Cancelled
Address :
22330 HAWTHORNE BLVD
216
TORRANCE CA 90505
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11706 Primary Status: Cancelled
Address :
14370 CULVER DRIVE
SUITE A
IRVINE CA 92604
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 12027 Primary Status: Cancelled
Address :
1109 W 17TH STREET
SANTA ANA CA 92706
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11701 Primary Status: Cancelled
Address :
14600 SHERMAN WAY #100B
VAN NUYS CA 91405
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11697 Primary Status: Cancelled
Address :
710 S BROOKHURST AVENUE
SUITE O
ANAHEIM CA 92807
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11699 Primary Status: Cancelled
Address :
1001 W CARSON STREET
SUITE H
TORRANCE CA 90502
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11696 Primary Status: Cancelled
Address :
12828 HARBOR BLVD
SUITE 340
GARDEN GROVE CA 92840
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11951 Primary Status: Cancelled
Address :
777 CORPORATE DR
SUITE 210
LADERA RANCH CA 92694
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11702 Primary Status: Cancelled
Address :
2360 PACIFIC AVENUE
LONG BEACH CA 90806
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11707 Primary Status: Cancelled
Address :
25733 BARTON ROAD
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11949 Primary Status: Cancelled
Address :
11351 183RD STREET
CERRITOS CA 90703
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11703 Primary Status: Cancelled
Address :
3325 E PALO VERDE STREET
#208
LONG BEACH CA 90808
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 78911 Primary Status: Cancelled
Address :
172 E Carson St
CARSON CA 90745-2702
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11952 Primary Status: Cancelled
Address :
1801 NEWPORT BLVD., B
COSTA MESA CA 92627
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11695 Primary Status: Cancelled
Address :
17660 LAKEWOOD BLVD
BELLFLOWER CA 90706
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11950 Primary Status: Cancelled
Address :
1109 WEST 17TH STREET
SANTA ANA CA 92706
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11705 Primary Status: Cancelled
Address :
2839 N EASTER AVENUE
LOS ANGELES CA 90032
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11704 Primary Status: Cancelled
Address :
4024 12TH STREET
RIVERSIDE CA 92501
RIVERSIDE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11953 Primary Status: Cancelled
Address :
1007 W LA PALMA
SUITE 2
ANAHEIM CA 92801
ORANGE COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11700 Primary Status: Cancelled
Address :
111 W 6TH STREET
#120
LOS ANGELES CA 90017
LOS ANGELES COUNTY
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: BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Additional Office Permit
License Number: 11698 Primary Status: Cancelled
Address :
3680 E IMPERIAL HWY #100
LYNWOOD CA 90262
LOS ANGELES COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: LEE, DANIEL HARVEY
License/Registration Type: Conscious Sedation Permit
License Number: 625 Primary Status: Cancelled
Address :
4980 BARRANCA PARKWAY STE 101
IRVINE CA 92604
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12424 Primary Status: Cancelled
Address :
1007 W. LA PALMA, SUITE 2
ANAHEIM CA 92801
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13229 Primary Status: Cancelled
Address :
12828 HARBOR BLVD, SUITE 340
GARDEN GROVE CA 92840
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11882 Primary Status: Cancelled
Address :
101 W CARSON STREET
SUITE H
TORRANCE CA 90502
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12423 Primary Status: Cancelled
Address :
22330 HAWTHORNE BLVD, #216
TORRANCE CA 90505
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11880 Primary Status: Cancelled
Address :
710 S BROOKHURST AVENUE
SUITE O
ANAHEIM CA 92807
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13221 Primary Status: Cancelled
Address :
14600 SHERMAN WAY, #100B
VAN NUYS CA 91405
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11878 Primary Status: Cancelled
Address :
17660 LAKEWOOD BLVD
BELLFLOWER CA 90706
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL OFFICE BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12311 Primary Status: Cancelled
Address :
1109 WEST 17TH STREET
SANTA ANA CA 92706
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13223 Primary Status: Cancelled
Address :
4024 12TH STREET
RIVERSIDE CA 92501
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13231 Primary Status: Cancelled
Address :
3325 E. PALO VERDE AVENUE, #208
LONG BEACH CA 90808
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13228 Primary Status: Cancelled
Address :
1801 NEWPORT BLVD, SUITE B
COSTA MESA CA 92627
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13227 Primary Status: Cancelled
Address :
710 S. BROOKHURST AVENUE, SUITE O
ANAHEIM CA 92804
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11883 Primary Status: Cancelled
Address :
111 W 6TH STREET #120
LOS ANGELES CA 90017
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11890 Primary Status: Cancelled
Address :
25733 BARTON ROAD
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11881 Primary Status: Cancelled
Address :
3680 E IMPERIAL HWY #100
LYNWOOD CA 90262
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12425 Primary Status: Cancelled
Address :
11351 183RD STREET
CERRITOS CA 90703
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13220 Primary Status: Cancelled
Address :
1111 W. 6TH STREET, #120
LOS ANGELES CA 90017
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13230 Primary Status: Cancelled
Address :
25733 BARTON ROAD
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13225 Primary Status: Cancelled
Address :
172 E. CARSON STREET
CARSON CA 90745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11887 Primary Status: Cancelled
Address :
4024 12TH STREET
RIVERSIDE CA 92501
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LITTLE SMILES OF ORANGE COUNTY, PEDIATRIC DENTAL OFFICE OF D. HAR
License/Registration Type: Fictitious Name Permit
License Number: 8182 Primary Status: Cancelled
Address :
4980 BARRANCA PARKWAY
STE. 101
IRVINE CA 92604
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13224 Primary Status: Cancelled
Address :
3680 E. IMPERIAL HIGHWAY, #100
LYNWOOD CA 90262
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11884 Primary Status: Cancelled
Address :
14600 SHERMAN WAY #100B
VAN NUYS CA 91405
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL OFFICE BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12310 Primary Status: Cancelled
Address :
1801 NEWPORT BLVD, SUITE B
COSTA MESA CA 92627
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11885 Primary Status: Cancelled
Address :
2360 PACIFIC AVENUE
LONG BEACH CA 908/06
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13222 Primary Status: Cancelled
Address :
2360 PACIFIC AVENUE
LONG BEACH CA 90806
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13232 Primary Status: Cancelled
Address :
2839 N. EASTERN AVENUE
LOS ANGELES CA 90032
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11879 Primary Status: Cancelled
Address :
12828 HARBOR BLVD
SUITE 340
GARDEN GROVE CA 92840
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11886 Primary Status: Cancelled
Address :
3325 E PALO VERDE STREET
#208
LONG BEACH CA 90808
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11889 Primary Status: Cancelled
Address :
14370 CULVER DRIVE
SUITE A
IRVINE CA 92604
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12600 Primary Status: Cancelled
Address :
172 E. CARSON STREET
CARSON CA 90745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: KIDCARE PEDIATRIC DENTAL OFFICE OF DANIEL HARVEY LEE, DDS, MPH, I
License/Registration Type: Fictitious Name Permit
License Number: 7922 Primary Status: Cancelled
Address :
4980 BARRANCA PARKWAY
STE. 101
IRVINE CA 92604
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11888 Primary Status: Cancelled
Address :
2839 N EASTERN AVENUE
LOS ANGELES CA 90032
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13226 Primary Status: Cancelled
Address :
17660 LAKEWOOD BLVD
BELLFLOWER CA 90706
LOS ANGELES 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11878 Primary Status: Cancelled
Address :
17660 LAKEWOOD BLVD
BELLFLOWER CA 90706
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13230 Primary Status: Cancelled
Address :
25733 BARTON ROAD
LOMA LINDA CA 92354
SAN BERNARDINO 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11881 Primary Status: Cancelled
Address :
3680 E IMPERIAL HWY #100
LYNWOOD CA 90262
LOS ANGELES 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11886 Primary Status: Cancelled
Address :
3325 E PALO VERDE STREET
#208
LONG BEACH CA 90808
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13225 Primary Status: Cancelled
Address :
172 E. CARSON STREET
CARSON CA 90745
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13220 Primary Status: Cancelled
Address :
1111 W. 6TH STREET, #120
LOS ANGELES CA 90017
LOS ANGELES 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11884 Primary Status: Cancelled
Address :
14600 SHERMAN WAY #100B
VAN NUYS CA 91405
LOS ANGELES 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11883 Primary Status: Cancelled
Address :
111 W 6TH STREET #120
LOS ANGELES CA 90017
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13223 Primary Status: Cancelled
Address :
4024 12TH STREET
RIVERSIDE CA 92501
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: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13232 Primary Status: Cancelled
Address :
2839 N. EASTERN AVENUE
LOS ANGELES CA 90032
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13226 Primary Status: Cancelled
Address :
17660 LAKEWOOD BLVD
BELLFLOWER CA 90706
LOS ANGELES 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11888 Primary Status: Cancelled
Address :
2839 N EASTERN AVENUE
LOS ANGELES CA 90032
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13222 Primary Status: Cancelled
Address :
2360 PACIFIC AVENUE
LONG BEACH CA 90806
LOS ANGELES 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: KIDCARE PEDIATRIC DENTAL OFFICE OF DANIEL HARVEY LEE, DDS, MPH, I
License/Registration Type: Fictitious Name Permit
License Number: 7922 Primary Status: Cancelled
Address :
4980 BARRANCA PARKWAY
STE. 101
IRVINE CA 92604
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: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11887 Primary Status: Cancelled
Address :
4024 12TH STREET
RIVERSIDE CA 92501
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: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11882 Primary Status: Cancelled
Address :
101 W CARSON STREET
SUITE H
TORRANCE CA 90502
LOS ANGELES 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11890 Primary Status: Cancelled
Address :
25733 BARTON ROAD
LOMA LINDA CA 92354
SAN BERNARDINO 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 WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12600 Primary Status: Cancelled
Address :
172 E. CARSON STREET
CARSON CA 90745
LOS ANGELES 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 WIDE DENTAL OFFICE BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12310 Primary Status: Cancelled
Address :
1801 NEWPORT BLVD, SUITE B
COSTA MESA CA 92627
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: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11889 Primary Status: Cancelled
Address :
14370 CULVER DRIVE
SUITE A
IRVINE CA 92604
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: LITTLE SMILES OF ORANGE COUNTY, PEDIATRIC DENTAL OFFICE OF D. HAR
License/Registration Type: Fictitious Name Permit
License Number: 8182 Primary Status: Cancelled
Address :
4980 BARRANCA PARKWAY
STE. 101
IRVINE CA 92604
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: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13221 Primary Status: Cancelled
Address :
14600 SHERMAN WAY, #100B
VAN NUYS CA 91405
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13224 Primary Status: Cancelled
Address :
3680 E. IMPERIAL HIGHWAY, #100
LYNWOOD CA 90262
LOS ANGELES 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 WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12425 Primary Status: Cancelled
Address :
11351 183RD STREET
CERRITOS CA 90703
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13229 Primary Status: Cancelled
Address :
12828 HARBOR BLVD, SUITE 340
GARDEN GROVE CA 92840
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: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13231 Primary Status: Cancelled
Address :
3325 E. PALO VERDE AVENUE, #208
LONG BEACH CA 90808
LOS ANGELES 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 WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13227 Primary Status: Cancelled
Address :
710 S. BROOKHURST AVENUE, SUITE O
ANAHEIM CA 92804
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: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11880 Primary Status: Cancelled
Address :
710 S BROOKHURST AVENUE
SUITE O
ANAHEIM CA 92807
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: SMILE WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12424 Primary Status: Cancelled
Address :
1007 W. LA PALMA, SUITE 2
ANAHEIM CA 92801
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: SMILE WIDE DENTAL, GROUP OF BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13228 Primary Status: Cancelled
Address :
1801 NEWPORT BLVD, SUITE B
COSTA MESA CA 92627
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: SMILE WIDE DENTAL GROUP, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12423 Primary Status: Cancelled
Address :
22330 HAWTHORNE BLVD, #216
TORRANCE CA 90505
LOS ANGELES 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 WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11885 Primary Status: Cancelled
Address :
2360 PACIFIC AVENUE
LONG BEACH CA 908/06
LOS ANGELES 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 WIDE DENTAL OFFICE BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 12311 Primary Status: Cancelled
Address :
1109 WEST 17TH STREET
SANTA ANA CA 92706
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: SMILE WIDE, BADII LEE DENTAL CORPORATION, INC.
License/Registration Type: Fictitious Name Permit
License Number: 11879 Primary Status: Cancelled
Address :
12828 HARBOR BLVD
SUITE 340
GARDEN GROVE CA 92840
ORANGE 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: LEE, DANIEL HARVEY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2040 Primary Status: Cancelled
Address :
14370 Culver Dr.
SUITE A
IRVINE CA 92604
ORANGE COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: ELLNER, LUAHNA HARPER
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 334 Primary Status: Current - Active
Address Not Disclosed
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: KIM, JENNY H.
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 709 Primary Status: Current - Active
Address Not Disclosed
