Dental Board of California
Licensing details for: 18272
Name: MAXILLO-FACIAL SURGERY INSTITUTE, IRVINE DENTAL PRACTICE OF MARECHEK AND SAGONG SURGERY PARTNERSHIP
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Partnership
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SAGONG, YOUN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: MARECHEK, ANDREI VIKTOROVICH
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: SAGONG, YOUN
License/Registration Type: Dentist License
License Number: 102034 Primary Status: Current - Active
Address :
17877 Von Karman Ave
Suite 370
IRVINE CA 92614-4201
ORANGE COUNTY
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: MARECHEK, ANDREI VIKTOROVICH
License/Registration Type: Dentist License
License Number: 104868 Primary Status: Current - Active
Address :
17877 Von Karman Ave
Suite 370
IRVINE CA 92614-4201
ORANGE COUNTY
