Dental Board of California
Licensing details for: 6220
Name: LAKESIDE DENTAL OFFICE, NAM DANG, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
4482 BARRANCA PKWY., STE. 195
IRVINE CA 92604
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DANG, NAM DUC
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: DANG, NAM DUC
License/Registration Type: Dentist License
License Number: 49718 Primary Status: Current - Active
Address :
18432 YORBA LINDA BLVD
YORBA LINDA CA 92782
ORANGE COUNTY
