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Licensing details for: 103715

Name: YU, YANG-YANG

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Practice Location

23595 Moulton Pkwy
Suite I
LAGUNA HILLS CA 92653-1939
ORANGE county
Map

Issuance Date

May 29, 2019

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
2:27:28 PM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: YANG YANG YU, D.M.D., INC.

License/Registration Type: Additional Office Permit

License Number: 80724 Primary Status: Expired

Address :
23595 MOULTON PARKWAY STE I
LAGUNA HILLS CA 92653
ORANGE COUNTY

Map

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: YANG YANG YU D.M.D., INC

License/Registration Type: Additional Office Permit

License Number: 80684 Primary Status: Expired

Address :
23595 MOULTON PARKWAY STE I
LAGUNA HILLS CA 92653
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ELITE DENTAL GROUP YANG YANG YU, D.M.D., INC.

License/Registration Type: Fictitious Name Permit

License Number: 15621 Primary Status: Current - Active

Address :
23595 MOULTON PARKWAY, SUITE I
LAGUNA HILLS CA 92653
ORANGE COUNTY

Map

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: ELITE DENTAL GROUP YANG YANG YU, D.M.D., INC.

License/Registration Type: Fictitious Name Permit

License Number: 15621 Primary Status: Current - Active

Address :
23595 MOULTON PARKWAY, SUITE I
LAGUNA HILLS CA 92653
ORANGE COUNTY

Map

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: TRUONG, TAM SY

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 797 Primary Status: Current - Active

Address Not Disclosed

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