Dental Board of California
Licensing details for: 18746
Name: SHINE DENTISTRY, DENTAL PRACTICE OF ANDREW HUYNH DDS
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: GARCIA-JASNY, ROGELIO MANUEL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHENG, WILLIAM JOSEPH
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHENG, NICOLE
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HUYNH, ANDREW VO
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: CHENG, NICOLE
License/Registration Type: Dentist License
License Number: 63175 Primary Status: Current - Active
Address :
10700 Santa Monica Blvd
#100
LOS ANGELES CA 90025-4768
LOS ANGELES COUNTY
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: CHENG, WILLIAM JOSEPH
License/Registration Type: Dentist License
License Number: 61674 Primary Status: Current - Active
Address :
1502 Montana Ave
Suite 205
SANTA MONICA CA 90403
LOS ANGELES COUNTY
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: GARCIA-JASNY, ROGELIO MANUEL
License/Registration Type: Dentist License
License Number: 61672 Primary Status: Current - Active
Address :
10700 Santa Monica Blvd
Ste. 140
LOS ANGELES CA 90025-4768
LOS ANGELES COUNTY
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: HUYNH, ANDREW VO
License/Registration Type: Dentist License
License Number: 63385 Primary Status: Current - Active
Address :
10700 Santa Monica Blvd
Ste 140
LOS ANGELES CA 90025-4768
SAN DIEGO COUNTY
