Dental Board of California
Licensing details for: 64569
Name: KO, ANDY YOUNG
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
1178 Innisfree Ct
FULLERTON CA 92831-1064
ORANGE 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: ANAHEIM HILLS DENTAL GROUP NAJAFI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14534 Primary Status: Current - Active
Address :
5731 SANTA ANA CANYON ROAD, SUITE A
ANAHEIM CA 92807
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: My Kid's Dentist, Dental Group of Anaheim Hills Dental Group and My Kid's Dentist, Inc.
License/Registration Type: Fictitious Name Permit
License Number: 20285 Primary Status: Current - Active
Address :
5731 E Santa Ana Canyon Rd, Ste L
ANAHEIM CA 92807
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: Anaheim Hills Dental Group
License/Registration Type: Fictitious Name Permit
License Number: 20244 Primary Status: Current - Active
Address :
5731 E Santa Ana Canyon Rd, Ste A
ANAHEIM CA 92807
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: MY KIDS DENTIST DENTAL GROUP NAJAFI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14527 Primary Status: Current - Active
Address :
5701 SANTA ANA CANYON RD STE L
ANAHEIM CA 92807
ORANGE 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: KO, ANDY YOUNG
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3338 Primary Status: Cancelled
Address :
11311 MONTSERRAT STREET
CYPRESS CA 90630
ORANGE COUNTY
