Dental Board of California
Licensing details for: 5065
Name: LAKESIDE DENTAL GROUP, LEE & PAIK, DDS, INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
25920 IRIS AVE, STE A-14
MORENO VALLEY CA 92551
RIVERSIDE county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PAIK, SANG CHURL
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PAIK, SANG C
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: 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
