Dental Board of California
Licensing details for: 79703
Name: SOO TAE PARK, DDS
License Type: Additional Office Permit
Primary Status: Expired
Organization Classification: Sole Owner
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
