Dental Board of California
Licensing details for: 2993
Name: SMILE HAVEN DENTAL CENTER, A DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
4700 SPRING STREET SUITE 210
LA MESA CA 91941
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHAN, STEPHEN LEE
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: CHAN, STEPHEN LEE
License/Registration Type: Dentist License
License Number: 36345 Primary Status: Current - Active
Address :
4700 SPRING STREET, SUITE 210
LA MESA CA 91942-0026
SAN DIEGO COUNTY
