Dental Board of California
Licensing details for: 59880
Name: CHUANG, REX GENWIN
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DINO-MITE KIDS DENTAL, DENTAL PRACTICE OF REX CHUANG, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13255 Primary Status: Current - Active
Address :
23321 EL TORO RD, SUITE C
LAKE FOREST CA 92630
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: DINO-MITE KIDS DENTAL, DENTAL PRACTICE OF REX CHUANG, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 13255 Primary Status: Current - Active
Address :
23321 EL TORO RD, SUITE C
LAKE FOREST CA 92630
ORANGE COUNTY
