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Licensing details for: 49134

Name: LEE, ANDREW WONJOO

License Type: Dentist

Primary Status: Current - Active

Address of Record

30212 TOMAS, SUITE 165
RANCHO SANTA MARGARI CA 92688
ORANGE county
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Issuance Date

November 21, 2001

Expiration Date

November 30, 2027

Current Date / Time

April 4, 2026
12:50:16 PM

License Relationships

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: EL PASEO DENTAL CENTER, DENTAL GROUP OF ANDREW LEE, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13964 Primary Status: Current - Active

Address :
30212 TOMAS STE 165
RANCHO SANTA MARGARI CA 92688-2175
ORANGE 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: EL PASEO DENTAL GROUP, ANDREW LEE, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 5972 Primary Status: Cancelled

Address :
22195 EL PASEO, STE 200
RANCHO SANTA MARGARI CA 92688
ORANGE COUNTY

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