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Licensing details for: 102615

Name: JANG, SEHYUNG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1776 Sunny Heights Ln
REDLANDS CA 92374-1418
SAN BERNARDINO county
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Practice Location

81812 Doctor Carreon Blvd
STE B
INDIO CA 92201-0607
RIVERSIDE county
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Issuance Date

June 22, 2018

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
5:12:54 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: UNIVERSAL DENTAL STUDIO DENTAL OFFICE OF SEHYUNG JANG, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 17730 Primary Status: Current - Active

Address :
81812 DOCTOR CARREON BLVD STE B
INDIO CA 92201
RIVERSIDE COUNTY

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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: UNIVERSAL DENTAL STUDIO DENTAL OFFICE OF SEHYUNG JANG, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 17730 Primary Status: Current - Active

Address :
81812 DOCTOR CARREON BLVD STE B
INDIO CA 92201
RIVERSIDE COUNTY

Map

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