Dental Board of California

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SAN JACINTO DENTAL GROUP, PAIK & LEE, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4313 Primary Status: Cancelled

Address :
166 E MAIN ST, STE 6
SAN JACINTO CA 92583
RIVERSIDE COUNTY

Map

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EAGLE GLEN DENTAL GROUP, SANG C PAIK, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4263 Primary Status: Cancelled

Address :
3811 BEDFORD CANYON RD, #A5
CORONA CA 92883
RIVERSIDE COUNTY

Map

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAKESIDE DENTAL GROUP, LEE & PAIK, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 5065 Primary Status: Current - Active

Address :
25920 IRIS AVE, STE A-14
MORENO VALLEY CA 92551
RIVERSIDE COUNTY

Map

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SIERRA DENTAL GROUP, SANG C. PAIK, DDS

License/Registration Type: Fictitious Name Permit

License Number: 6120 Primary Status: Cancelled

Address :
11201 SIERRA AVE., STE. 1F
FONTANA CA 92337
SAN BERNARDINO COUNTY

Map

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: APPLE VALLEY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 1588 Primary Status: Cancelled

Address :
SANG C PAIK DDS
20162 HWY 18 STE L
APPLE VALLEY CA 92307
SAN BERNARDINO COUNTY

Map

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: PAIK, SANG CHURL

License/Registration Type: Dentist License

License Number: 41861 Primary Status: Current - Active

Address :
25920 IRIS AVE.
STE 14A
MORENO VALLEY CA 92551
RIVERSIDE COUNTY

Map