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Licensing details for: 12953

Name: EMBRACE DENTAL & ORTHODONTICS DENTAL OFFICE OF DR. CHUNG AND ASSOCIATES

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2903 SALVIO STREET
CONCORD CA 94519
CONTRA COSTA county
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Practice Location

2903 SALVIO STREET
CONCORD CA 94519
CONTRA COSTA county
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Issuance Date

July 1, 2016

Expiration Date

September 30, 2018

Current Date / Time

June 6, 2025
2:6:23 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHUNG, SARAH S

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: CHUNG, SARAH S

License/Registration Type: Dentist License

License Number: 56131 Primary Status: Current - Active

Address :
134 Paramount
IRVINE CA 92618-1053
ORANGE COUNTY

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