Dental Board of California
Licensing details for: 3052
Name: YU, CHUNZHU
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE BACK DENTAL GROUP CHUNZHU YU DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 14890 Primary Status: Current - Active
Address :
62 CORPORATE PARK STE 215
IRVINE CA 92606
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE BACK DENTAL GROUP, CHUNZHU YU DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 10803 Primary Status: Expired
Address :
1500 E KATELLA AVENUE SUITE L
ORANGE CA 92867
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: YU, CHUNZHU
License/Registration Type: Dentist License
License Number: 55979 Primary Status: Current - Active
Address :
62 Corporate Park
215
IRVINE CA 92606-3122
ORANGE COUNTY
