Dental Board of California
Licensing details for: 60144
Name: CHOI, JESSICA W
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: FUNG, JESSICA W ❖ FUNG, JESSICA
Address of Record
2318 Huntington Dr
SAN MARINO CA 91108-2641
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN MARINO PEDIATRIC DENTISTRY, DENTAL GROUP OF JESSICA CHOI, DMD, DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15832 Primary Status: Current - Active
Address :
2318 HUNTINGTON DR
SAN MARINO CA 91108
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: SAN MARINO PEDIATRIC DENTISTRY, DENTAL GROUP OF JESSICA CHOI, DMD, DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15832 Primary Status: Current - Active
Address :
2318 HUNTINGTON DR
SAN MARINO CA 91108
LOS ANGELES 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: CHOI, JESSICA W
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2769 Primary Status: Cancelled
Address :
2318 Huntington Dr
SAN MARINO CA 91108-2641
LOS ANGELES COUNTY
