Dental Board of California
Licensing details for: 5813
Name: LEGACY ORTHODONTICS, DENTAL GROUP OF WILLIAM L CHEN, DDS,
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
Address of Record
3061 EAST EDINGER AVE
TUSTIN CA 92780
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: CHEN, WILLIAM LI
License/Registration Type: Dentist License
License Number: 51049 Primary Status: Current - Active
Address :
39 MOUNT VERNON
IRVINE CA 92620
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: PHAM, SON GIA
License/Registration Type: Dentist License
License Number: 49975 Primary Status: Current - Active
Address :
3061 Edinger Ave
SUITE #A
TUSTIN CA 92780-7238
ORANGE COUNTY



