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Licensing details for: 54007

Name: LE, HUNG CHI

License Type: Dentist

Primary Status: Current - Active

Address of Record

408 S Beach Blvd
107
ANAHEIM CA 92804-1853
ORANGE county
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Issuance Date

August 25, 2005

Expiration Date

September 30, 2026

Current Date / Time

December 13, 2025
11:42:1 AM

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: PACIFICA ORAL & MAXILLOFACIAL SURGERY, DENTAL PRACTICE OF HUNG LE

License/Registration Type: Fictitious Name Permit

License Number: 9903 Primary Status: Current - Active

Address :
408 S. BEACH BOULEVARD #107
ANAHEIM CA 92804
ORANGE COUNTY

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GA to DDS or OMS or SP

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

Related Party Role: General Anesthesia Permit

Name: LE, HUNG CHI

License/Registration Type: General Anesthesia Permit

License Number: 1578 Primary Status: Current - Active

Address :
408 S Beach Blvd Ste 107
ANAHEIM CA 92804-1874
ORANGE COUNTY

Map

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