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Licensing details for: 46197

Name: LEE, REBECCA CAROLINA

License Type: Dentist

Primary Status: Current - Active

Previous Names: LEE, REBECCA C LEE PAIR, REBECCA CAROLINA

Address of Record

10386 Tupelo Ln
LOS ANGELES CA 90077-2823
LOS ANGELES county
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Practice Location

11200 Corbin Ave
Ste 108
11200 Corbin Ave
PORTER RANCH CA 91326-4250
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Issuance Date

September 24, 1999

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
7:48:29 PM

License Relationships

OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: LEE, REBECCA CAROLINA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 648 Primary Status: Cancelled

Address :
11200 CORBIN #108
NORTHRIDGE CA 91326
LOS ANGELES COUNTY

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