Dental Board of California
Licensing details for: 100231
Name: Paek, Agelina Eun Min
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
6211 Medau Pl
Suite 120
OAKLAND CA 94611-2810
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONTCLAIR PEDIATRIC DENTISTRY PEDIATRIC DENTAL PRACTICE OF DR. PAEK AND DR. HSIEH
License/Registration Type: Fictitious Name Permit
License Number: 18820 Primary Status: Current - Active
Address :
6211 MEDAU PL, SUITE 120
OAKLAND CA 94611
ALAMEDA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MONTCLAIR PEDIATRIC DENTISTRY PEDIATRIC DENTAL PRACTICE OF DR. PAEK AND DR. HSIEH
License/Registration Type: Fictitious Name Permit
License Number: 18820 Primary Status: Current - Active
Address :
6211 MEDAU PL, SUITE 120
OAKLAND CA 94611
ALAMEDA COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: Paek, Agelina Eun Min
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3694 Primary Status: Cancelled
Address :
1105 Atlantic Ave
#101
ALAMEDA CA 94501-1186
ALAMEDA COUNTY
