Dental Board of California
Licensing details for: 58794
Name: CHEUNG, JIMMY S
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
78-595 HWY 111
SUITE 300
LA QUINTA CA 92253
RIVERSIDE county
Map
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: CHEUNG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80186 Primary Status: Current - Active
Address :
78-595 HWY. 111, SUITE 300
LA QUINTA CA 92253
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: CHEUNG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11587 Primary Status: Cancelled
Address :
78-595 HWY 111
SUITE 300
LA QUINTA CA 92253
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: JIMMY CHEUNG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80911 Primary Status: Current - Active
Address :
34-460 MONTEREY AVE STE 100
PALM DESERT CA 92211
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: LA QUINTA DENTAL GROUP CHEUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15144 Primary Status: Current - Active
Address :
78-595 HWY. 111, SUITE 300
MORENO VALLEY CA 92553
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: DESERT GATEWAY DENTAL GROUP, JIMMY CHEUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16506 Primary Status: Current - Active
Address :
34-460 MONTEREY AVE STE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
