Dental Board of California
Licensing details for: 308
Name: PARK, MICHAEL H
License Type: Pediatric Minimal Sedation Permit
Primary Status: Current - Active
Practice Location
23326 HAWTHORNE BLVD. SUITE 320
TORRANCE CA 90505
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SKY PEDIATRIC DENTISTRY DENTAL OFFICE OF DR. MICHAEL PARK
License/Registration Type: Fictitious Name Permit
License Number: 17774 Primary Status: Current - Active
Address :
23326 HAWTHORNE BLVD., SUITE 320
TORRANCE CA 90505
LOS ANGELES COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Pediatric Minimal Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: PARK, MICHAEL H
License/Registration Type: Dentist License
License Number: 106120 Primary Status: Current - Active
Address :
1315 Manhattan Beach Blvd
Unit B
MANHATTAN BEACH CA 90266-5227
LOS ANGELES COUNTY
