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Licensing details for: 10297

Name: CHRISTINE CHUNG DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: CHRISTINE CHUNG DDS INC

Address of Record

27702 CROWN VALLEY PARKWAY
STE. A-2
LADERA RANCH CA 92694
ORANGE county
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Practice Location

27702 CROWN VALLEY PARKWAY
STE. A-2
LADERA RANCH CA 92694
ORANGE county
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Issuance Date

October 11, 2010

Expiration Date

August 31, 2021

Current Date / Time

June 6, 2025
8:38:29 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: CHUNG, CHRISTINE H

License/Registration Type: Dentist License

License Number: 43474 Primary Status: Current - Active

Address :
24310 Moulton Pkwy
STE C-1
LAGUNA WOODS CA 92637-3306
ORANGE COUNTY

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