Dental Board of California
Licensing details for: 4858
Name: SIGNATURE ENDODONTICS, DENTAL OFFICE OF SAMUEL H IP,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
29839 SANTA MARGARITA PKWY
STE 100A
RANCHO SANTA MARGARI CA 92688
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: IP, SAMUEL HO-SHUN
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: IP, SAMUEL HO-SHUN
License/Registration Type: Dentist License
License Number: 47734 Primary Status: Current - Active
Address :
30212 TOMAS #210
RANCHO SANTA MARGAR CA 92688
ORANGE COUNTY
