Dental Board of California
Licensing details for: 12127
Name: APPLE TOOTH DENTAL GROUP SAMUEL H. KO, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: APPLE TOOTH DENTAL, SAMUEL H. KO, DDS, INC.
Address of Record
15263 HOOK BLVD, SUITE D
VICTORVILLE CA 92394
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KO, SAMUEL HYUNWOOK
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: KO, SAMUEL HYUNWOOK
License/Registration Type: Dentist License
License Number: 40454 Primary Status: Current - Active
Address :
12429 MARIPOSA RD. SUITE A
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
