Dental Board of California
Licensing details for: 41861
Name: PAIK, SANG CHURL
License Type: Dentist
Primary Status: Current - Active
Address of Record
25920 IRIS AVE.
STE 14A
MORENO VALLEY CA 92551
RIVERSIDE county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SANG C PAIK, DDS
License/Registration Type: Additional Office Permit
License Number: 7604 Primary Status: Cancelled
Address :
166 E MAIN ST, STE 6
SAN JACINTO CA 92583
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SANG C. PAIK, DDS
License/Registration Type: Additional Office Permit
License Number: 8906 Primary Status: Cancelled
Address :
11201 SIERRA AVE.
STE. 1F
FONTANA CA 92337
SAN BERNARDINO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SANG C PAIK, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7957 Primary Status: Cancelled
Address :
3811 BEDFORD CANYON RD, STE A5
CORONA CA 92883
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: LEE & PAIK, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8287 Primary Status: Cancelled
Address :
25920 IRIS AVE, STE A-14
MORENO VALLEY CA 92551
RIVERSIDE COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: SANG C PAIK, DDS & JASON S LEE, DDS
License/Registration Type: Additional Office Permit
License Number: 8210 Primary Status: Cancelled
Address :
166 E MAIN ST, STE 6
SAN JACINTO CA 92583
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN JACINTO DENTAL GROUP, PAIK & LEE, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4313 Primary Status: Cancelled
Address :
166 E MAIN ST, STE 6
SAN JACINTO CA 92583
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: APPLE VALLEY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1588 Primary Status: Cancelled
Address :
SANG C PAIK DDS
20162 HWY 18 STE L
APPLE VALLEY CA 92307
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EAGLE GLEN DENTAL GROUP, SANG C PAIK, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4263 Primary Status: Cancelled
Address :
3811 BEDFORD CANYON RD, #A5
CORONA CA 92883
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIERRA DENTAL GROUP, SANG C. PAIK, DDS
License/Registration Type: Fictitious Name Permit
License Number: 6120 Primary Status: Cancelled
Address :
11201 SIERRA AVE., STE. 1F
FONTANA CA 92337
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LAKESIDE DENTAL GROUP, LEE & PAIK, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 5065 Primary Status: Current - Active
Address :
25920 IRIS AVE, STE A-14
MORENO VALLEY CA 92551
RIVERSIDE 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: EAGLE GLEN DENTAL GROUP, SANG C PAIK, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4263 Primary Status: Cancelled
Address :
3811 BEDFORD CANYON RD, #A5
CORONA CA 92883
RIVERSIDE 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: SAN JACINTO DENTAL GROUP, PAIK & LEE, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4313 Primary Status: Cancelled
Address :
166 E MAIN ST, STE 6
SAN JACINTO CA 92583
RIVERSIDE 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: APPLE VALLEY DENTAL OFFICE
License/Registration Type: Fictitious Name Permit
License Number: 1588 Primary Status: Cancelled
Address :
SANG C PAIK DDS
20162 HWY 18 STE L
APPLE VALLEY CA 92307
SAN BERNARDINO 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: LAKESIDE DENTAL GROUP, LEE & PAIK, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 5065 Primary Status: Current - Active
Address :
25920 IRIS AVE, STE A-14
MORENO VALLEY CA 92551
RIVERSIDE 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: SIERRA DENTAL GROUP, SANG C. PAIK, DDS
License/Registration Type: Fictitious Name Permit
License Number: 6120 Primary Status: Cancelled
Address :
11201 SIERRA AVE., STE. 1F
FONTANA CA 92337
SAN BERNARDINO 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: PAIK, SANG CHURL
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 677 Primary Status: Cancelled
Address :
3811 BEDFORD CANYON RD
SUITE 105
CORONA CA 92883
RIVERSIDE COUNTY
