Dental Board of California
Licensing details for: 5677
Name: SIGNATURE ENDODONTICS, DENTAL OFFICE OF SAMUEL H IP, DDS,
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
29861 SANTA MARGARTIA PKWY
STE 100
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 H
Address Not Disclosed
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
