Dental Board of California
Licensing details for: 4186
Name: PARK, MICHAEL H
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: SKY PEDIATRIC DENTISTRY DENTAL OFFICE OF DR. MICHAEL PARK
License/Registration Type: Fictitious Name Permit
License Number: 17774 Primary Status: Current - Active
Address :
23326 HAWTHORNE BLVD., SUITE 320
TORRANCE CA 90505
LOS ANGELES 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: PARK, MICHAEL H
License/Registration Type: Dentist License
License Number: 106120 Primary Status: Current - Active
Address :
1315 Manhattan Beach Blvd
Unit B
MANHATTAN BEACH CA 90266-5227
LOS ANGELES COUNTY
