Dental Board of California
Licensing details for: 1075
Name: HACIENDA VALLEY FAMILY DENTISTRY
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
JULIA S GO DDS
161 S HACIENDA BLVD
CITY OF INDUSTRY CA 91744
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SUN, BAO-LAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PASION, ALICE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GO, JULIA S
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: SUN, BAO-LAN
License/Registration Type: Dentist License
License Number: 40737 Primary Status: Current - Active
Address :
23450 Lyons Ave Ste B
NEWHALL CA 91321-5780
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: GO, JULIA S
License/Registration Type: Dentist License
License Number: 27286 Primary Status: Expired
Address :
14822 FINISTERRA PLACE
HACIENDA HEIGHTS CA 91745
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: PASION, ALICE
License/Registration Type: Dentist License
License Number: 38111 Primary Status: Current - Active
Address :
1025 N DOUTY STREET
HANFORD CA 93230
KINGS COUNTY
