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Licensing details for: 193

Name: YOON, ANNA

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

1247 ANZA STREET
SAN FRANCISCO CA 94118
SAN FRANCISCO county
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Issuance Date

December 27, 2000

Expiration Date

February 28, 2002

Current Date / Time

June 7, 2025
11:47:7 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MILLBRAE DENTAL CENTER, DENTAL PRACTICE OF

License/Registration Type: Fictitious Name Permit

License Number: 3994 Primary Status: Cancelled

Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
SAN MATEO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BAYSIDE DENTAL CARE, DENTAL PRACTICE OF ANNA YOON, DDS

License/Registration Type: Fictitious Name Permit

License Number: 4606 Primary Status: Cancelled

Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
SAN MATEO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MILLBRAE DENTAL CENTER, DENTAL PRACTICE OF

License/Registration Type: Fictitious Name Permit

License Number: 4147 Primary Status: Cancelled

Address :
15 EL CAMINO REAL
MILLBRAE CA 94030
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, ANNA

License/Registration Type: Dentist License

License Number: 45218 Primary Status: Cancelled

Address Not Disclosed

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