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Licensing details for: 39178

Name: LU, BEATRICE

License Type: Dentist

Primary Status: Current - Active

Address of Record

22 ODYSSEY, SUITE 220
IRVINE CA 92618
ORANGE county
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Issuance Date

July 26, 1991

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
8:14:9 AM

License Relationships

CS to DDS, OMS, or SP

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

Related Party Role: Conscious Sedation Permit

Name: LU, BEATRICE

License/Registration Type: Conscious Sedation Permit

License Number: 944 Primary Status: Cancelled

Address :
22 ODYSSEY, SUITE 220
IRVINE CA 92618
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GREAT PARK DENTAL, OFFICE OF BEATRICE LU D.D.S., INC.

License/Registration Type: Fictitious Name Permit

License Number: 12025 Primary Status: Current - Active

Address :
22 ODYSSEY, #220
IRVINE CA 92618
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: GREAT PARK DENTAL, OFFICE OF BEATRICE LU D.D.S., INC.

License/Registration Type: Fictitious Name Permit

License Number: 12025 Primary Status: Current - Active

Address :
22 ODYSSEY, #220
IRVINE CA 92618
ORANGE COUNTY

Map

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