Dental Board of California
Licensing details for: 56284
Name: LEE, SOOJIN
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: LEE AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11627 Primary Status: Current - Active
Address :
405 W FOOTHILL BLVD
SUITE 104
CLAREMONT CA 91711
LOS ANGELES COUNTY
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: SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79441 Primary Status: Cancelled
Address :
605 W ROUTE 66
GLENDORA CA 91741
LOS ANGELES COUNTY
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: SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80507 Primary Status: Current - Active
Address :
605 W. ROUTE 66
GLENDORA CA 91741
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GLENDORA SMILES DENTISTRY DENTAL GROUP, SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15685 Primary Status: Current - Active
Address :
605 W ROUTE 66
GLENDORA CA 91741
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLAREMONT MODERN DENTISTRY DENTAL GROUP, LEE AND SAMBANGI DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 11743 Primary Status: Current - Active
Address :
405 W Foothill Blvd
SUITE 104
CLAREMONT CA 91711-2786
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GLENDORA SMILES DENTISTRY DENTAL GROUP SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13757 Primary Status: Cancelled
Address :
605 W ROUTE 66
GLENDORA CA 91741
LOS ANGELES COUNTY
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: GLENDORA SMILES DENTISTRY DENTAL GROUP SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13757 Primary Status: Cancelled
Address :
605 W ROUTE 66
GLENDORA CA 91741
LOS ANGELES COUNTY
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: CLAREMONT MODERN DENTISTRY DENTAL GROUP, LEE AND SAMBANGI DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 11743 Primary Status: Current - Active
Address :
405 W Foothill Blvd
SUITE 104
CLAREMONT CA 91711-2786
LOS ANGELES COUNTY
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: GLENDORA SMILES DENTISTRY DENTAL GROUP, SOOJIN LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15685 Primary Status: Current - Active
Address :
605 W ROUTE 66
GLENDORA CA 91741
LOS ANGELES COUNTY
