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Licensing details for: 47386

Name: LEE, JASON SANG

License Type: Dentist

Primary Status: Current - Active

Address of Record

1183 E. FOOTHILL BLVD STE 240
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

August 30, 2000

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
8:5:40 PM

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: JASON S. LEE, DDS

License/Registration Type: Additional Office Permit

License Number: 8323 Primary Status: Cancelled

Address :
121 W FOOTHILL BLVD, STE E
UPLAND CA 91786
SAN BERNARDINO COUNTY

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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

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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: JASON S. LEE, DDS

License/Registration Type: Additional Office Permit

License Number: 9775 Primary Status: Current - Active

Address :
166 E. MAIN ST.
STE. 6
SAN JACINTO CA 92583
RIVERSIDE COUNTY

Map

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 & NGOW, DDS, INC.

License/Registration Type: Additional Office Permit

License Number: 9699 Primary Status: Cancelled

Address :
121 W. FOOTHILL BLVD.
STE. E
UPLAND CA 91786
SAN BERNARDINO COUNTY

Map

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

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SIGNATURE DENTAL GROUP, JASON S LEE, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4540 Primary Status: Cancelled

Address :
121 W FOOTHILL BLVD, STE E
UPLAND CA 91785
SAN BERNARDINO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SAN JACINTO DENTAL GROUP, LEE & NGOW, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7425 Primary Status: Current - Active

Address :
166 E. MAIN ST.
STE. 6
SAN JACINTO CA 92583
RIVERSIDE COUNTY

Map

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, LEE & NGOW, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7425 Primary Status: Current - Active

Address :
166 E. MAIN ST.
STE. 6
SAN JACINTO CA 92583
RIVERSIDE COUNTY

Map

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

Map

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: SIGNATURE DENTAL GROUP, JASON S LEE, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4540 Primary Status: Cancelled

Address :
121 W FOOTHILL BLVD, STE E
UPLAND CA 91785
SAN BERNARDINO COUNTY

Map

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