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Licensing details for: 41416

Name: HAN, MI YOUNG

License Type: Dentist

Primary Status: Current - Active

Address of Record

5720 E IMPERIAL HWY
#G
SOUTH GATE CA 90280-7518
LOS ANGELES county
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Issuance Date

October 29, 1993

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
2:45:9 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: IMPERIAL DENTAL OFFICE, MI YOUNG HAN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 4775 Primary Status: Current - Active

Address :
5720 E IMPERIAL HWY, STE G
SOUTH GATE CA 90280
LOS ANGELES 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: IMPERIAL DENTAL OFFICE, MI YOUNG HAN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 4775 Primary Status: Current - Active

Address :
5720 E IMPERIAL HWY, STE G
SOUTH GATE CA 90280
LOS ANGELES COUNTY

Map

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