Dental Board of California
Licensing details for: 6477
Name: WILSHIRE PARK DENTAL GROUP LA PALMA, KENNY JANG, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: WILSHIRE PARK DENTAL LA PALMA GROUP
Address of Record
7872 WALKER STREET
STE. 101
LA PALMA CA 90623
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JANG, KENNY YOUNG
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: JANG, KENNY YOUNG
License/Registration Type: Dentist License
License Number: 46613 Primary Status: Current - Active
Address :
1696 W Katella Ave
ANAHEIM CA 92802-3015
ORANGE COUNTY
