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Licensing details for: 82494

Name: DONG JEONG, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Dentists of Fair Oaks, Inc.

Address of Record

8854 Madison Ave.
FAIR OAKS CA 95628
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Issuance Date

November 17, 2025

Expiration Date

November 30, 2027

Current Date / Time

December 13, 2025
8:41:25 PM

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: JEONG, DONG JUN

License/Registration Type: Dentist License

License Number: 61931 Primary Status: Current - Active

Address :
10910 OLSEN DR. SUITE 100
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY

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