Dental Board of California
Licensing details for: 14391
Name: SWEET HOME PEDIATRIC DENTISTRY DENTAL PRACTICE OF HANNAH SONG
License Type: Fictitious Name Permit
Primary Status: Expired

Organization Classification: Corporation
License Relationships
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, HANNAH JI YOUNG
License/Registration Type: Dentist License
License Number: 58464 Primary Status: Current - Active
Address :
7851 Commonwealth Ave
BUENA PARK CA 90621-2422
ORANGE COUNTY



