Dental Board of California
Licensing details for: 20041
Name: Dental Group of Smile Builder
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
Previous Names: SMILE BUILDER
Address of Record
473 E Alessandro blvd ste A
RIVERSIDE CA 92508
RIVERSIDE county
Map
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, KYUNGSIN
License/Registration Type: Dentist License
License Number: 56339 Primary Status: Current - Active
Address :
285 E ALESSANDRO BL #7D
RIVERSIDE CA 92508
RIVERSIDE 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: 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
