Dental Board of California
Licensing details for: 2056
Name: SONG, HANNAH JI YOUNG
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: SONG, HANNAH JIYOUNG ❖ LIM, HANNAH JI-YOUNG
Address of Record
5661 BEACH BLVD
STE 100
BUENA PARK CA 90621
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SWEET HOME PEDIATRIC DENTISTRY DENTAL PRACTICE OF HANNAH SONG
License/Registration Type: Fictitious Name Permit
License Number: 14391 Primary Status: Expired
Address :
5661 BEACH BLVD STE 100
BUENA PARK CA 90621
ORANGE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SONG, HANNAH JI YOUNG
License/Registration Type: Dentist License
License Number: 58464 Primary Status: Current - Active
Address :
7851 Commonwealth Ave
BUENA PARK CA 90621-2422
ORANGE COUNTY
