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Licensing details for: 62332

Name: LEE, ANDREW KIN-WAH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: ANDREW, LEE KIN-WAH

Address of Record

13221 DESTINO PL
CERRITOS CA 90703
LOS ANGELES county
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Issuance Date

April 26, 2013

Expiration Date

September 30, 2025

Current Date / Time

June 7, 2025
3:9:22 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: THE HILLS SMILE LAB, THE DENTAL OFFICE OF DR. LEE AND DR. LUONG

License/Registration Type: Fictitious Name Permit

License Number: 14955 Primary Status: Current - Active

Address :
5753 E. SANTA ANA CANYON ROAD #K
ANAHEIM CA 92807
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ESTHETIC PARTNERS DENTAL GROUP, OFFICE OF DR. COLLIN TSAI AND ANDREW LEE

License/Registration Type: Fictitious Name Permit

License Number: 18404 Primary Status: Current - Active

Address :
622 W. DUARTE ROAD SUITE 205
ARCADIA CA 91007-7606

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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: ESTHETIC PARTNERS DENTAL GROUP, OFFICE OF DR. COLLIN TSAI AND ANDREW LEE

License/Registration Type: Fictitious Name Permit

License Number: 18404 Primary Status: Current - Active

Address :
622 W. DUARTE ROAD SUITE 205
ARCADIA CA 91007-7606

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: THE HILLS SMILE LAB, THE DENTAL OFFICE OF DR. LEE AND DR. LUONG

License/Registration Type: Fictitious Name Permit

License Number: 14955 Primary Status: Current - Active

Address :
5753 E. SANTA ANA CANYON ROAD #K
ANAHEIM CA 92807
ORANGE COUNTY

Map

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