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Licensing details for: 55223

Name: LEE, PETER

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4932 WILLMONTE AVE
TEMPLE CITY CA 91780
LOS ANGELES county
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Practice Location

6633 ATLANTIC AVE
BELL CA 90201
LOS ANGELES county
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Issuance Date

November 9, 2006

Expiration Date

March 31, 2026

Current Date / Time

June 7, 2025
8:39:56 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIND KARE DENTAL, DENTAL OFFICE OF DR. PETER LEE

License/Registration Type: Fictitious Name Permit

License Number: 17478 Primary Status: Current - Active

Address :
600 W MAIN ST STE 102
ALHAMBRA CA 91801
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: KIND KARE DENTAL, DENTAL OFFICE OF DR. PETER LEE

License/Registration Type: Fictitious Name Permit

License Number: 17478 Primary Status: Current - Active

Address :
600 W MAIN ST STE 102
ALHAMBRA CA 91801
LOS ANGELES COUNTY

Map

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