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Licensing details for: 6120

Name: SIERRA DENTAL GROUP, SANG C. PAIK, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: SIERRA DENTAL GROUP

Address of Record

11201 SIERRA AVE., STE. 1F
FONTANA CA 92337
SAN BERNARDINO county
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Issuance Date

March 29, 2006

Expiration Date

January 31, 2010

Current Date / Time

June 6, 2025
10:6:3 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PAIK, SANG CHURL

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

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