Dental Board of California
Licensing details for: 18820
Name: MONTCLAIR PEDIATRIC DENTISTRY PEDIATRIC DENTAL PRACTICE OF DR. PAEK AND DR. HSIEH
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: PAEK, AGELINA EUN MIN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HSIEH, REBECCA PE-FENG
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: HSIEH, REBECCA PE-FENG
License/Registration Type: Dentist License
License Number: 102094 Primary Status: Current - Active
Address :
163 MILLER AVE STE 2
MILL VALLEY CA 94941
MARIN 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: Paek, Agelina Eun Min
License/Registration Type: Dentist License
License Number: 100231 Primary Status: Current - Active
Address :
6211 Medau Pl
Suite 120
OAKLAND CA 94611-2810
ALAMEDA COUNTY
