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Licensing details for: 1818

Name: LEE, TIM YEN TING

License Type: Dentist General Anesthesia

Primary Status: Current - Active

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 5, 2016

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
2:15:16 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: LEE, TIM YEN TING

License/Registration Type: Dentist License

License Number: 63953 Primary Status: Current - Active

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

Map

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