Dental Board of California
Licensing details for: 4775
Name: IMPERIAL DENTAL OFFICE, MI YOUNG HAN, DDS
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
Address of Record
5720 E IMPERIAL HWY, STE G
SOUTH GATE CA 90280
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HAN, MI YOUNG
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: HAN, MI YOUNG
License/Registration Type: Dentist License
License Number: 41416 Primary Status: Current - Active
Address :
5720 E IMPERIAL HWY
#G
SOUTH GATE CA 90280-7518
LOS ANGELES COUNTY
