Dental Board of California

Licensing details for: 102094

Name: HSIEH, REBECCA PE-FENG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6211 Medau Pl
Suite 120
OAKLAND CA 94611
ALAMEDA county
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Practice Location

163 MILLER AVE STE 2
MILL VALLEY CA 94941
MARIN county
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4881 TELEGRAPH AVE
OAKLAND CA 94609
ALAMEDA county
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5233 GEARY BLVD
SAN FRANCISCO CA 94118
SAN FRANCISCO county
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Issuance Date

October 6, 2017

Expiration Date

July 31, 2027

Current Date / Time

June 7, 2025
2:54:32 AM

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

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit