Dental Board of California
Licensing details for: 13255
Name: DINO-MITE KIDS DENTAL, DENTAL PRACTICE OF REX CHUANG, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHUANG, REX GENWIN
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: CHUANG, REX GENWIN
License/Registration Type: Dentist License
License Number: 59880 Primary Status: Current - Active
Address :
23321 El Toro Rd Ste C
23321 El Toro Rd. Ste C
LAKE FOREST CA 92630-4825
