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Licensing details for: 56252

Name: CHUNG, GRACE YOON MI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: CHUNG, YOON MI

Address of Record

27110 EUCALYPTUS AVE
STE A
MORENO VALLEY CA 92555
RIVERSIDE county
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Issuance Date

August 23, 2007

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
9:42:39 AM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: CHUNG AND NOSTI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80193 Primary Status: Current - Active

Address :
27110 EUCALYPTUS AVENUE, SUITE A
MORENO VALLEY CA 92555
RIVERSIDE 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: STONERIDGE DENTAL GROUP, CHUNG AND NOSTI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15141 Primary Status: Current - Active

Address :
27110 EUCALYPTUS AVENUE, SUITE A
MORENO VALLEY CA 92555
RIVERSIDE COUNTY

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