Dental Board of California
Licensing details for: 10803
Name: SMILE BACK DENTAL GROUP, CHUNZHU YU DDS, INC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: SMILE BACK DENTAL SERVICE CHUNZHU YU DDS, INC
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: YU, CHUNZHU
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: YU, CHUNZHU
License/Registration Type: Dentist License
License Number: 55979 Primary Status: Current - Active
Address :
62 Corporate Park
215
IRVINE CA 92606-3122
ORANGE COUNTY
