Dental Board of California
Licensing details for: 42664
Name: JHANG, ALEXANDER KISAM
License Type: Dentist
Primary Status: Current - Active
Previous Names: JHANG, KI SAM ❖ JHANG, ALEXANDER K
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: A. JHANG, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 8671 Primary Status: Cancelled
Address :
955 EAST AVENUE
CHICO CA 95926
BUTTE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CARMICHAEL OAKS DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2463 Primary Status: Cancelled
Address :
8329 FAIR OAKS BLVD SUITE D
CARMICHAEL CA 95608
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHICO DENTAL GROUP, A. JHANG, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 5808 Primary Status: Cancelled
Address :
955 EAST AVENUE
CHICO CA 95926
BUTTE 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: CARMICHAEL OAKS DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2463 Primary Status: Cancelled
Address :
8329 FAIR OAKS BLVD SUITE D
CARMICHAEL CA 95608
SACRAMENTO 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: CHICO DENTAL GROUP, A. JHANG, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 5808 Primary Status: Cancelled
Address :
955 EAST AVENUE
CHICO CA 95926
BUTTE 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: JHANG, ALEXANDER KISAM
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2470 Primary Status: Cancelled
Address :
4141 POPPLETON WAY
CARMICHAEL CA 95608
SACRAMENTO COUNTY
