Dental Board of California
Licensing details for: 60120
Name: KWON, EUNHAE PARK
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: PARK, EUNHAE
Address of Record
531 Grace Dr
MENLO PARK CA 94025-5724
SAN MATEO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MENLO PEDIATRIC DENTAL, DENTAL OFFICE OF EUNHAE PARK KWON, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 13689 Primary Status: Expired
Address :
1300 UNIVERSITY DR STE 8
MENLO PARK CA 94025
SAN MATEO 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: MENLO PEDIATRIC DENTAL, DENTAL OFFICE OF EUNHAE PARK KWON, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 13689 Primary Status: Expired
Address :
1300 UNIVERSITY DR STE 8
MENLO PARK CA 94025
SAN MATEO COUNTY
