Dental Board of California
Licensing details for: 57783
Name: LEE, SHAWN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: SHAWN LEE, DDS
License/Registration Type: Additional Office Permit
License Number: 82243 Primary Status: Current - Active
Address :
560 Pine Avenue
LONG BEACH CA 90802
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: Shawn lee and manoranjani sambangi dental corporation
License/Registration Type: Additional Office Permit
License Number: 79036 Primary Status: Cancelled
Address :
28901 S Western Ave
SUITE 135
RANCHO PALOS VERDES CA 90275-0828
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: Rancho Palos Verdes Dentistry, Dental Group of Rancho Palos Verdes Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20168 Primary Status: Current - Active
Address :
28901 S Western Ave, Ste 135
RANCHO PALOS VERDES CA 90275
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: Downtown Long Beach Dentistry, Dental Group of Downtown Long Beach Dentistry, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20386 Primary Status: Current - Active
Address :
560 Pine Avenue
LONG BEACH CA 90802
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: RANCHO PALOS VERDES DENTISTRY DENTAL GROUP SHAWN LEE AND MANORANJANI SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12928 Primary Status: Expired
Address :
28901 S. WESTERN AVENUE, SUITE 135
RANCHO PALOS VERDES CA 90275
LOS ANGELES COUNTY
