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Licensing details for: 63953

Name: LEE, TIM YEN TING

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: LEE, TIM YEN-TING

Address of Record

2015 Hutley Way
GRANITE BAY CA 95746-7161
PLACER county
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Practice Location

9450 Fairway Dr
ROSEVILLE CA 95678-3588
PLACER county
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Issuance Date

August 20, 2014

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
4:37:49 PM

License Relationships

GA to DDS or OMS or SP

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

Related Party Role: General Anesthesia Permit

Name: LEE, TIM YEN TING

License/Registration Type: General Anesthesia Permit

License Number: 1818 Primary Status: Current - Active

Address :
9450 Fairway Dr
ROSEVILLE CA 95678-3588
PLACER COUNTY

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