Dental Board of California
Licensing details for: 10210
Name: KENNETH K. CHAN, DDS
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Sole Owner
Previous Names: KENNETH K. CHAN
Address of Record
15260 FAIRGROVE AVE.
LA PUENTE CA 91744
LOS ANGELES county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: CHAN, KENNETH KA-TAT
License/Registration Type: Dentist License
License Number: 47857 Primary Status: Current - Active
Address :
1315 Fair Oaks Ave
103
SOUTH PASADENA CA 91030
