Dental Board of California
Licensing details for: 13331
Name: SPARKLING STAR CHILDREN'S DENTISTRY, DENTAL PRACTICE OF MICHELLE TO DDS AND ROGER LIM DDS, A PROFESSIONAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: TO, MICHELLE P
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LIM, ROGER SHERMAN
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: TO, MICHELLE P
License/Registration Type: Dentist License
License Number: 46337 Primary Status: Current - Active
Address :
12128 Vanowen St
NORTH HOLLYWOOD CA 91605-5651
LOS ANGELES COUNTY
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: LIM, ROGER SHERMAN
License/Registration Type: Dentist License
License Number: 45487 Primary Status: Current - Active
Address :
13308 Moorpark St
SHERMAN OAKS CA 91423-3918
LOS ANGELES COUNTY
