Dental Board of California
Licensing details for: 8547
Name: FAMILY DENTAL PRACTICE OF POLLY CHAN, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: FAMILY DENTAL
Address of Record
581 Foster City Blvd
FOSTER CITY CA 94404-1695
SAN MATEO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHAN, POLLY CHUNG-PEI
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: CHAN, POLLY CHUNG-PEI
License/Registration Type: Dentist License
License Number: 41166 Primary Status: Current - Active
Address :
581 Foster City Blvd
FOSTER CITY CA 94404-1695
SAN MATEO COUNTY
