
Dental Board of California
Licensing details for: 14783
Name: PR DENTAL CENTER DENTAL GROUP OF JUHEE PARK DDS, INC.
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: PARK, JUHEE
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, JUHEE
License/Registration Type: Dentist License
License Number: 100472 Primary Status: Current - Active
Address :
610 N Coast Hwy
LAGUNA BEACH CA 92651-1526
ORANGE COUNTY