Dental Board of California
Licensing details for: 56845
Name: MIN, GRACE HYUNSUNG
License Type: Dentist
Primary Status: Current - Active
Address of Record
8211 Bruceville Rd
Ste 155
SACRAMENTO CA 95823-2357
SACRAMENTO 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: GUEVARA-LARA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80879 Primary Status: Current - Active
Address :
992 FLORIN ROAD
SACRAMENTO CA 95831
SACRAMENTO 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: GRACE MIN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80889 Primary Status: Current - Active
Address :
2660 5TH STREET, SUITE C
ALAMEDA CA 94501
ALAMEDA 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: MIN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80144 Primary Status: Cancelled
Address :
8211 BRUCEVILLE ROAD, SUITE 155
SACRAMENTO CA 95823
SACRAMENTO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALAMEDA LANDING DENTISTRY DENTAL GROUP, GRACE MIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16479 Primary Status: Current - Active
Address :
2660 5TH ST, STE C
ALAMEDA CA 94501
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STRAWBERRY CREEK DENTAL GROUP MIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15096 Primary Status: Current - Active
Address :
8211 BRUCEVILLE ROAD, SUITE 155
SACRAMENTO CA 95823
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: ALAMEDA LANDING DENTISTRY DENTAL GROUP, GRACE MIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16479 Primary Status: Current - Active
Address :
2660 5TH ST, STE C
ALAMEDA CA 94501
ALAMEDA 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: STRAWBERRY CREEK DENTAL GROUP MIN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15096 Primary Status: Current - Active
Address :
8211 BRUCEVILLE ROAD, SUITE 155
SACRAMENTO CA 95823
SACRAMENTO COUNTY
