Dental Board of California
Licensing details for: 18055
Name: ENERGETIC SMILE FAMILY DENTAL PRACTICE OF JOHN Y. CHUNG, DMD, INC.
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: CHUNG, JOHN YEARNCHARN
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: CHUNG, JOHN YEARNCHARN
License/Registration Type: Dentist License
License Number: 101596 Primary Status: Current - Active
Address :
307 N Brea Blvd
BREA CA 92821-4053
ORANGE COUNTY
