Dental Board of California
Licensing details for: 13689
Name: MENLO PEDIATRIC DENTAL, DENTAL OFFICE OF EUNHAE PARK KWON, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Practice Location
1300 UNIVERSITY DR STE 8
MENLO PARK CA 94025
SAN MATEO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KWON, EUNHAE PARK
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: KWON, EUNHAE PARK
License/Registration Type: Dentist License
License Number: 60120 Primary Status: Current - Active
Address :
531 Grace Dr
MENLO PARK CA 94025-5724
SAN MATEO COUNTY
