Dental Board of California
Licensing details for: 578
Name: HSZIEH, KEVIN CHIH WEN
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
11 GOLDEN STAR
IRVINE CA 92604
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LADERA RANCH PEDIATRIC DENTISTRY, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5011 Primary Status: Current - Active
Address :
600 CORPORATE DR, STE 200
LADERA RANCH CA 92694
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: HSZIEH, KEVIN CHIH WEN
License/Registration Type: Dentist License
License Number: 45270 Primary Status: Current - Active
Address :
600 Corporate Dr
Suite 200
LADERA RANCH CA 92694-2106
ORANGE COUNTY
