Dental Board of California
Licensing details for: 3694
Name: Paek, Agelina Eun Min
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
1105 Atlantic Ave
#101
ALAMEDA CA 94501-1186
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONTCLAIR PEDIATRIC DENTISTRY PEDIATRIC DENTAL PRACTICE OF DR. PAEK AND DR. HSIEH
License/Registration Type: Fictitious Name Permit
License Number: 18820 Primary Status: Current - Active
Address :
6211 MEDAU PL, SUITE 120
OAKLAND CA 94611
ALAMEDA COUNTY
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: Paek, Agelina Eun Min
License/Registration Type: Dentist License
License Number: 100231 Primary Status: Current - Active
Address :
6211 Medau Pl
Suite 120
OAKLAND CA 94611-2810
ALAMEDA COUNTY
