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Licensing details for: 296

Name: LEE, PATRICK WAH

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2500 ALTON PKWY #206
IRVINE CA 92606
ORANGE county
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Issuance Date

January 2, 2001

Expiration Date

February 28, 2023

Current Date / Time

June 7, 2025
3:42:4 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ABC KID'S DENTAL GROUP, PRACTICE OF PATRICK W. LEE DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 7086 Primary Status: Current - Active

Address :
2500 ALTON PARKWAY, STE. 206
IRVINE CA 92606
ORANGE 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: LEE, PATRICK WAH

License/Registration Type: Dentist License

License Number: 46094 Primary Status: Current - Active

Address :
2500 Alton Pkwy Ste 206
IRVINE CA 92606-5034
ORANGE COUNTY

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