Dental Board of California
Licensing details for: 58464
Name: SONG, HANNAH JI YOUNG
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: SONG, HANNAH JIYOUNG ❖ LIM, HANNAH JI-YOUNG
Address of Record
7851 Commonwealth Ave
BUENA PARK CA 90621-2422
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SWEET HOME PEDIATRIC DENTISTRY DENTAL PRACTICE OF HANNAH SONG
License/Registration Type: Fictitious Name Permit
License Number: 14391 Primary Status: Expired
Address :
5661 BEACH BLVD STE 100
BUENA PARK CA 90621
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: SWEET HOME PEDIATRIC DENTISTRY DENTAL PRACTICE OF HANNAH SONG
License/Registration Type: Fictitious Name Permit
License Number: 14391 Primary Status: Expired
Address :
5661 BEACH BLVD STE 100
BUENA PARK CA 90621
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: SONG, HANNAH JI YOUNG
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2056 Primary Status: Cancelled
Address :
5661 BEACH BLVD
STE 100
BUENA PARK CA 90621
ORANGE COUNTY
