Dental Board of California
Licensing details for: 14955
Name: THE HILLS SMILE LAB, THE DENTAL OFFICE OF DR. LEE AND DR. LUONG
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LUONG, BRIAN TUAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LEE, ANDREW KIN-WAH
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: LUONG, BRIAN TUAN
License/Registration Type: Dentist License
License Number: 63276 Primary Status: Current - Active
Address :
500 Westover Dr # 31643
SANFORD NC 27330-8941
LEE COUNTY
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: LEE, ANDREW KIN-WAH
License/Registration Type: Dentist License
License Number: 62332 Primary Status: Current - Active
Address :
13221 DESTINO PL
CERRITOS CA 90703
LOS ANGELES COUNTY
