Dental Board of California
Licensing details for: 7021
Name: A.V. SIERRA DENTAL CENTER, JASON OH, D.D.S., INC
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
38427 N. 20TH STREET E
PALMDALE CA 93550
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OH, JASON JAESONG
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: OH, JASON JAESONG
License/Registration Type: Dentist License
License Number: 53091 Primary Status: Current - Active
Address :
520 West Palmdale Blvd.
Suite O
PALMDALE CA 93551
LOS ANGELES COUNTY
