Dental Board of California
Licensing details for: 816
Name: LEE, KEUN CHAN
License Type: Conscious Sedation
Primary Status: Cancelled
Address of Record
8581 MONTICELLO AVE
BUENA PARK CA 90621
ORANGE county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: LEE, KEUN CHAN
License/Registration Type: Dentist License
License Number: 49928 Primary Status: Current - Active
Address :
8581 MONTICELLO AVE
BUENA PARK CA 90621
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GARDENS DENTAL SPA, DENTAL PRACTICE OF DR. KEUN LEE
License/Registration Type: Fictitious Name Permit
License Number: 12136 Primary Status: Cancelled
Address :
12531 EAST CARSON STREET
HAWAIIAN GARDENS CA 90716
LOS ANGELES COUNTY
