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Licensing details for: 62185

Name: CHAU, AMY YEN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: YEN, AMY CHIA-LI

Address of Record

13334 LIMONITE AVE SUITE 120
CORONA CA 92880
RIVERSIDE county
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Issuance Date

February 13, 2013

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
4:6:23 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: AMY YEN CHAU, DDS

License/Registration Type: Additional Office Permit

License Number: 79540 Primary Status: Current - Active

Address :
13334 LIMONITE AVE STE 120
CORONA CA 92880
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EASTVALE SMILES DENTISTRY DENTAL GROUP, YEN AND DIMITRI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13918 Primary Status: Current - Active

Address :
13334 LIMONITE AVE STE 120
CORONA CA 92880
RIVERSIDE COUNTY

Map

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: EASTVALE SMILES DENTISTRY DENTAL GROUP, YEN AND DIMITRI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13918 Primary Status: Current - Active

Address :
13334 LIMONITE AVE STE 120
CORONA CA 92880
RIVERSIDE COUNTY

Map

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