Dental Board of California
Licensing details for: 5011
Name: LADERA RANCH PEDIATRIC DENTISTRY, DENTAL PRACTICE OF
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
600 CORPORATE DR, STE 200
LADERA RANCH CA 92694
ORANGE county
Map
License Relationships
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, RICHARD SANG
License/Registration Type: Dentist License
License Number: 44807 Primary Status: Current - Active
Address :
100 E VALENCIA MESA DR
Suite 102
FULLERTON CA 92835
ORANGE COUNTY
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: HSZIEH, KEVIN CHIH WEN
License/Registration Type: Dentist License
License Number: 45270 Primary Status: Current - Active
Address :
600 Corporate Dr
Suite 200
LADERA RANCH CA 92694-2106
ORANGE COUNTY
