
Dental Board of California
Licensing details for: 15832
Name: SAN MARINO PEDIATRIC DENTISTRY, DENTAL GROUP OF JESSICA CHOI, DMD, DENTAL CORPORATION
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: CHOI, JESSICA W
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: CHOI, JESSICA W
License/Registration Type: Dentist License
License Number: 60144 Primary Status: Current - Active
Address :
2318 Huntington Dr
SAN MARINO CA 91108-2641
LOS ANGELES COUNTY