Dental Board of California
Licensing details for: 16291
Name: LA MIRADA ONE DENTAL DENTAL GROUP SUNG WOOK PARK, DDS, INC.
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: PARK, SUNG WOOK
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, SUNG WOOK
License/Registration Type: Dentist License
License Number: 101539 Primary Status: Current - Active
Address :
14930 Imperial Hwy
Ste D
LA MIRADA CA 90638-2100
LOS ANGELES COUNTY
