Dental Board of California
Licensing details for: 4263
Name: EAGLE GLEN DENTAL GROUP, SANG C PAIK, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
3811 BEDFORD CANYON RD, #A5
CORONA CA 92883
RIVERSIDE county
Map
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
