Dental Board of California
Licensing details for: 8666
Name: TOWNGATE FAMILY DENTAL, DENTAL PRACTICE OF HYUN J. SHIN, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: TOWNGATE FAMILY DENTAL
Address of Record
12625 FREDERICK ST.
STE. F-4
MORENO VALLEY CA 92553
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHIN, HYUN JOON
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: SHIN, HYUN JOON
License/Registration Type: Dentist License
License Number: 44361 Primary Status: Current - Active
Address :
25559 CARROL CT
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY
