Dental Board of California
Licensing details for: 6300
Name: CHILDREN'S DENTAL SURGERY CENTER, DENTAL PRACTICE OF LEE AND HONG
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CHILDREN'S DENTAL SURGERY CENTER
Address of Record
1610 W. EDINGER AVE., STE. C
SANTA ANA CA 92704
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HONG, BRIAN YOUNG-JIN
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: HONG, BRIAN YOUNG-JIN
License/Registration Type: Dentist License
License Number: 37335 Primary Status: Current - Active
Address :
100 E Valencia Mesa Dr
#102
FULLERTON CA 92835-3813
ORANGE COUNTY
