Dental Board of California
Licensing details for: 63177
Name: CHUNG, AVA PEI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Previous Names: CHUNG, AVA P
Contract Location
7078 Freesia Ct
EASTVALE CA 92880-8920
RIVERSIDE county
Map
License Relationships
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: Mini Tooth Kids Dentistry Dental office
License/Registration Type: Fictitious Name Permit
License Number: 19893 Primary Status: Current - Active
Address :
2411 S Grove Ave
ONTARIO CA 91761
SAN BERNARDINO 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: CHUNG, AVA PEI
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3363 Primary Status: Cancelled
Address :
12455 Victoria Gardens Ln
#190
RANCHO CUCAMONGA CA 91739-7530
SAN BERNARDINO COUNTY
