Dental Board of California
Licensing details for: 12090
Name: DENTAL KIDZ CLUB GENERAL DENTISTRY, DENTAL OFFICE OF JH CHUN DENT
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: DENTAL KIDZ CLUB GENERAL DENTISTRY FOR CHILDREN JH CHUN DENTAL CORPORATION
Address of Record
4140 TYLER STREET
RIVERSIDE CA 92503
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHUN, JIHEE HEEJUNG
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: CHUN, JIHEE HEEJUNG
License/Registration Type: Dentist License
License Number: 52047 Primary Status: Current - Active
Address :
518 W Badillo St
COVINA CA 91722-3762
LOS ANGELES COUNTY
