Dental Board of California
Licensing details for: 5402
Name: DAE HYUNG SONG, DDS, INC.
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
6011 PACIFIC BLVD STE 120
HUNTINGTON PARK CA 90255
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: SONG, DAE HYUNG
License/Registration Type: Dentist License
License Number: 25630 Primary Status: Current - Active
Address :
3129 N San Fernando Rd
LOS ANGELES CA 90065-1412
LOS ANGELES COUNTY
