Dental Board of California
Licensing details for: 16259
Name: WYNNING SMILES DENTAL OFFICE OF SHANG DMD DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHANG, WYNN
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: SHANG, WYNN
License/Registration Type: Dentist License
License Number: 103456 Primary Status: Current - Active
Address :
13234 Jamboree Rd
IRVINE CA 92602-2307
ORANGE COUNTY
