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Licensing details for: 1588

Name: APPLE VALLEY DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

SANG C PAIK DDS
20162 HWY 18 STE L
APPLE VALLEY CA 92307
SAN BERNARDINO county
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Issuance Date

April 10, 1997

Expiration Date

January 31, 2004

Current Date / Time

December 13, 2025
7:54:13 AM

License Relationships

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: 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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