Dental Board of California
Licensing details for: 65220
Name: CHON, DAVID JIMIN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
612 E Carson St Ste 101
CARSON CA 90745-2896
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: WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80515 Primary Status: Current - Active
Address :
612 E. CARSON STREET, SUITE 101
CARSON CA 90745
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15682 Primary Status: Current - Active
Address :
612 E. CARSON STREET., SUITE 101
CARSON CA 90745
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: THE DENTAL OFFICE OF CARSON WALTER JEFFERSON, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15682 Primary Status: Current - Active
Address :
612 E. CARSON STREET., SUITE 101
CARSON CA 90745
LOS ANGELES COUNTY
