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Licensing details for: 1750

Name: YOON, AUDREY JUNG-SUN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: YOON, JUNG SUN

Address of Record

3460 WILSHIRE BL #104
LOS ANGELES CA 90010
LOS ANGELES county
Map

Issuance Date

October 24, 2008

Expiration Date

December 31, 2023

Current Date / Time

July 16, 2025
4:55:11 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE DENTAL CENTER, DENTAL GROUP OF AUDREY JUNG-SUN YOON, DDSMS,

License/Registration Type: Fictitious Name Permit

License Number: 9027 Primary Status: Cancelled

Address :
217 DE ANZA BOULEVARD
SAN MATEO CA 94402
SAN MATEO COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: YOON, AUDREY JUNG-SUN

License/Registration Type: Dentist License

License Number: 53114 Primary Status: Current - Active

Address :
3460 WILSHIRE BL #104
LOS ANGELES CA 90010
LOS ANGELES COUNTY

Map

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