Dental Board of California
Licensing details for: 13000
Name: DR SHIN'S VALLEY DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHIN, ANDREW WOOCHUL
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: SHIN, ANDREW WOOCHUL
License/Registration Type: Dentist License
License Number: 34213 Primary Status: Current - Active
Address :
14880 7TH ST #1
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
