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Licensing details for: 3363

Name: CHUNG, AVA PEI

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: CHUNG, AVA P

Address of Record

12455 Victoria Gardens Ln
#190
RANCHO CUCAMONGA CA 91739-7530
SAN BERNARDINO county
Map

Issuance Date

September 15, 2015

Expiration Date

July 31, 2024

Current Date / Time

June 5, 2026
5:41:56 PM

License Relationships

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: CHUNG, AVA PEI

License/Registration Type: Dentist License

License Number: 63177 Primary Status: Current - Active

Address Not Disclosed

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