Dental Board of California
Licensing details for: 4540
Name: SIGNATURE DENTAL GROUP, JASON S LEE, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
121 W FOOTHILL BLVD, STE E
UPLAND CA 91785
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LEE, JASON SANG
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: LEE, JASON SANG
License/Registration Type: Dentist License
License Number: 47386 Primary Status: Current - Active
Address :
1183 E. FOOTHILL BLVD STE 240
UPLAND CA 91786
SAN BERNARDINO COUNTY
