Dental Board of California
Licensing details for: 13423
Name: DENTAL IMPLANT AND ORAL SURGERY OF SAN FRANCISCO SONG DENTAL PRACTICE, 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: 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
