Dental Board of California
Licensing details for: 6746
Name: EAST LOS ANGELES FAMILY DENTISTRY, DENTAL OFFICE OF CHEN PROF. DE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: EAST LOS ANGELES FAMILY DENTISTRY
Address of Record
4410 E. WHITTIER BLVD.
LOS ANGELES CA 90022
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHEN, ISAAC JIN-WEI
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: CHEN, ISAAC JIN-WEI
License/Registration Type: Dentist License
License Number: 36069 Primary Status: Current - Active
Address :
2071 S Atlantic Blvd
SUITE F&G
MONTEREY PARK CA 91754-6347
LOS ANGELES COUNTY
