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Licensing details for: 56041

Name: KANG, HYO S

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

8051 Briar Oaks Dr
SAN RAMON CA 94582
CONTRA COSTA county
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Issuance Date

July 26, 2007

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
8:34:36 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: KANG, HYO S. DMD INC.

License/Registration Type: Additional Office Permit

License Number: 79089 Primary Status: Cancelled

Address :
1700 Pennsylvania Ave
SUITE D
FAIRFIELD CA 94533-3588
SOLANO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WELLSPRING DENTAL GROUP, DENTAL OFFICE OF KANG, HYO S. DMD INC.

License/Registration Type: Fictitious Name Permit

License Number: 11681 Primary Status: Current - Active

Address :
1801 TULLY RD STE C-1
MODESTO CA 95350
STANISLAUS 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: WELLSPRING DENTAL GROUP, DENTAL OFFICE OF KANG, HYO S. DMD INC.

License/Registration Type: Fictitious Name Permit

License Number: 11681 Primary Status: Current - Active

Address :
1801 TULLY RD STE C-1
MODESTO CA 95350
STANISLAUS COUNTY

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