Dental Board of California
Licensing details for: 6364
Name: HACIENDA SMILE DESIGN, DENTAL PRACTICE OF J. S. GO, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: HACIENDA SMILE DESIGN
Address of Record
161 S. HACIENDA BLVD.
INDUSTRY CA 91745
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GO, JULIA S
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: GO, JULIA S
License/Registration Type: Dentist License
License Number: 27286 Primary Status: Expired
Address :
14822 FINISTERRA PLACE
HACIENDA HEIGHTS CA 91745
LOS ANGELES COUNTY
