Dental Board of California
Licensing details for: 65092
Name: LEE, GUNDONG
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
16108 Bellflower Blvd
BELLFLOWER CA 90706-4606
LOS ANGELES county
Map
Practice Location
1235 N HARBOR BLVD, STE 100
FULLERTON CA 92832
ORANGE county
Map
16108 Bellflower Blvd
BELLFLOWER CA 90706-4606
LOS ANGELES county
Map
3150 E Imperial Hwy
UNIT B8 207
LYNWOOD CA 90262-3223
LOS ANGELES 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: GUNDONG LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80350 Primary Status: Current - Active
Address :
16108 Bellflower Blvd
BELLFLOWER CA 90706-4606
LOS ANGELES 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: SHIN & LEE DDS, INC
License/Registration Type: Additional Office Permit
License Number: 81022 Primary Status: Current - Active
Address :
3150 E IMPERIAL HWY, B8-207
LYNWOOD CA 90262
LOS ANGELES 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: GUNDONG LEE, DDS
License/Registration Type: Additional Office Permit
License Number: 80114 Primary Status: Cancelled
Address :
16106 BELLFLOWER BLVD
BELLFLOWER CA 90706
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PRIMERA DENTAL DENTAL GROUP OF SHIN & LEE DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 16583 Primary Status: Current - Active
Address :
3150 E IMPERIAL HWY, B8-207
LYNWOOD CA 90262
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: REAL DENTISTRY DENTAL GROUP OF GUNDONG LEE, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 14812 Primary Status: Current - Active
Address :
1235 N. HARBOR BLVD., STE 100
FULLERTON CA 92832
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BELL DENTAL CARE DENTAL GROUP OF GUNDONG LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15241 Primary Status: Current - Active
Address :
16108 Bellflower Blvd
BELLFLOWER CA 90706-4606
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: REAL DENTISTRY DENTAL GROUP OF GUNDONG LEE, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 14812 Primary Status: Current - Active
Address :
1235 N. HARBOR BLVD., STE 100
FULLERTON CA 92832
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: BELL DENTAL CARE DENTAL GROUP OF GUNDONG LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15241 Primary Status: Current - Active
Address :
16108 Bellflower Blvd
BELLFLOWER CA 90706-4606
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: PRIMERA DENTAL DENTAL GROUP OF SHIN & LEE DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 16583 Primary Status: Current - Active
Address :
3150 E IMPERIAL HWY, B8-207
LYNWOOD CA 90262
LOS ANGELES COUNTY
