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Licensing details for: 2470

Name: JHANG, ALEXANDER KISAM

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Previous Names: JHANG, KI SAM JHANG, ALEXANDER K

Address of Record

4141 POPPLETON WAY
CARMICHAEL CA 95608
SACRAMENTO county
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Issuance Date

December 22, 2010

Expiration Date

August 31, 2015

Current Date / Time

June 6, 2025
7:37:25 PM

License Relationships

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

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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

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: JHANG, ALEXANDER KISAM

License/Registration Type: Dentist License

License Number: 42664 Primary Status: Current - Active

Address :
4534 PRECISSI LANE STE A
STOCKTON CA 95207
SAN JOAQUIN COUNTY

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