Dental Board of California
Licensing details for: 13589
Name: NORTHGATE DENTAL OFFICE, BOJUN PARK, 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: PARK, BOJUN
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: PARK, BOJUN
License/Registration Type: Dentist License
License Number: 56290 Primary Status: Current - Active
Address :
1112 S Bristol St
SANTA ANA CA 92704-3420
ORANGE COUNTY
