Dental Board of California
Licensing details for: 53091
Name: OH, JASON JAESONG
License Type: Dentist
Primary Status: Current - Active
Address of Record
520 West Palmdale Blvd.
Suite O
PALMDALE CA 93551
LOS ANGELES 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: JASON J OH DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 10929 Primary Status: Cancelled
Address :
27420 TOURNEY ROAD
SUITE 230
VALENCIA CA 91355
LOS ANGELES 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: PALMDALE DENTAL ARTS, DENTAL PRACTICE OF JASON OH DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 13705 Primary Status: Cancelled
Address :
38427 20TH ST EAST
PALMDALE CA 93550
LOS ANGELES 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: AV SIERRA DENTAL CENTER, DENTAL PRACTICE OF JASON OH DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 13861 Primary Status: Cancelled
Address :
38427 20TH ST EAST
PALMDALE CA 93550
LOS ANGELES 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: A.V. SIERRA DENTAL CENTER, JASON OH, D.D.S., INC
License/Registration Type: Fictitious Name Permit
License Number: 7021 Primary Status: Cancelled
Address :
38427 N. 20TH STREET E
PALMDALE CA 93550
LOS ANGELES 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: OH, JASON JAESONG
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4416 Primary Status: Current - Active
Address :
520 West Palmdale Blvd.
Suite O
PALMDALE CA 93551
LOS ANGELES COUNTY
