Dental Board of California
Licensing details for: 3521
Name: SMILE DENTAL GROUP & ORTHODONTICS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2508 E PALMDALE BLVD
PALMDALE CA 93550
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHIN, ANDREW WOOCHUL
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: SHIN, ANDREW WOOCHUL
License/Registration Type: Dentist License
License Number: 34213 Primary Status: Current - Active
Address :
14880 7TH ST #1
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY
