Dental Board of California
Licensing details for: 18598
Name: MORENO BEACH DENTAL PRACTICE OF MYUNG KEE PARK DDS INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
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, MYUNG KEE
License/Registration Type: Dentist License
License Number: 101614 Primary Status: Current - Active
Address :
14435 Moreno Beach Dr
Suite 108
MORENO VALLEY CA 92555-8704
RIVERSIDE COUNTY
