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Licensing details for: 103617

Name: YOO, JAE YOUNG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

15760 Thomas Paine Dr
RAMONA CA 92065-7329
SAN DIEGO county
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Issuance Date

April 3, 2019

Expiration Date

July 31, 2026

Current Date / Time

June 7, 2025
2:25:41 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MIDLAND ORTHODONTICS DENTAL PRACTICE OF JAE YOO, DDS, MSD, INC.

License/Registration Type: Fictitious Name Permit

License Number: 17209 Primary Status: Current - Active

Address :
14021 MIDLAND ROAD
POWAY CA 92064
SAN DIEGO COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: MIDLAND ORTHODONTICS DENTAL PRACTICE OF JAE YOO DDS MSD INC.

License/Registration Type: Fictitious Name Permit

License Number: 17209 Primary Status: Current - Active

Address :
14021 MIDLAND ROAD
POWAY CA 92064
SAN DIEGO COUNTY

Map

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