Dental Board of California
Licensing details for: 63150
Name: WON, ANDREW JAY
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
8715 Trautwein Rd
RIVERSIDE CA 92508-9474
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: MICHAEL CHO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81523 Primary Status: Current - Active
Address :
6161 VAN BUREN BLVD STE 103
RIVERSIDE CA 92503
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: WATANABE AND WON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80733 Primary Status: Current - Active
Address :
8715 TRAUTWEIN ROAD, SUITE A
RIVERSIDE CA 92508
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIVERSIDE MODERN DENTISTRY DENTAL GROUP, MICHAEL CHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17695 Primary Status: Current - Active
Address :
6161 VAN BUREN BLVD STE 103
RIVERSIDE CA 92503
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GROVE DENTAL GROUP, WATANABE AND WON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16163 Primary Status: Current - Active
Address :
8715 TRAUTWEIN ROAD., SUITE A
RIVERSIDE CA 92508
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: RIVERSIDE MODERN DENTISTRY DENTAL GROUP, MICHAEL CHO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17695 Primary Status: Current - Active
Address :
6161 VAN BUREN BLVD STE 103
RIVERSIDE CA 92503
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: GROVE DENTAL GROUP, WATANABE AND WON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16163 Primary Status: Current - Active
Address :
8715 TRAUTWEIN ROAD., SUITE A
RIVERSIDE CA 92508
RIVERSIDE COUNTY
