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Licensing details for: 8210

Name: SANG C PAIK, DDS & JASON S LEE, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

166 E MAIN ST, STE 6
SAN JACINTO CA 92583
RIVERSIDE county
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Issuance Date

March 9, 2004

Expiration Date

January 31, 2010

Current Date / Time

June 6, 2025
10:14:34 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: LEE, JASON SANG

License/Registration Type: Dentist License

License Number: 47386 Primary Status: Current - Active

Address :
1183 E. FOOTHILL BLVD STE 240
UPLAND CA 91786
SAN BERNARDINO COUNTY

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