Dental Board of California
Licensing details for: 12287
Name: SONG ORAL SURGERY, DENTAL PRACTICE OF SONG DENTAL GROUP, INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: SONG ORAL SUGERY PRACTICE OF SONG DENTAL GROUP, INC
Address of Record
3109 GEARY BLVD
SAN FRANCISCO CA 94118
SAN FRANCISCO county
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License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SONG, DENNIS
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: SONG, DENNIS
License/Registration Type: Dentist License
License Number: 47664 Primary Status: Current - Active
Address :
3109 Geary Blvd
SAN FRANCISCO CA 94118-3316
SAN FRANCISCO COUNTY
