Dental Board of California
Licensing details for: 18804
Name: WINNING SMILE DENTAL GROUP DENTAL OFFICE OF DR. MICHELLE CHEN
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: CHEN, MICHELLE GARY
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: CHEN, MICHELLE GARY
License/Registration Type: Dentist License
License Number: 102249 Primary Status: Current - Active
Address :
11 Heritage Dr
SAN RAFAEL CA 94901-8309
MARIN COUNTY
