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Licensing details for: 4204

Name: PAK, MARK JUNGWON

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

4148 Ocean View Blvd
MONTROSE CA 91020-1552
LOS ANGELES county
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Practice Location

4148 Ocean View Blvd
MONTROSE CA 91020-1552
LOS ANGELES county
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Issuance Date

December 1, 2021

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
9:46:58 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: PAK, MARK JUNGWON

License/Registration Type: Dentist License

License Number: 49966 Primary Status: Current - Active

Address :
4148 Ocean View Blvd
MONTROSE CA 91020-1552
LOS ANGELES COUNTY

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