Dental Board of California
Licensing details for: 5471
Name: SOO T PARK, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
15165 7TH ST STE I
VICTORVILLE CA 92392
SAN BERNARDINO 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: PARK, SOO TAE
License/Registration Type: Dentist License
License Number: 33967 Primary Status: Current - Active
Address :
18011 MARABOU PLACE
CANYON COUNTRY CA 91387
LOS ANGELES COUNTY



