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Licensing details for: 10414

Name: HYUN J SHIN DDS INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

12625 FREDERICK ST F4
MORENO VALLEY CA 92553
RIVERSIDE county
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Practice Location

12625 FREDERICK ST F4
MORENO VALLEY CA 92553
RIVERSIDE county
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Issuance Date

February 25, 2011

Expiration Date

March 31, 2014

Current Date / Time

June 6, 2025
10:18:34 AM

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: SHIN, HYUN JOON

License/Registration Type: Dentist License

License Number: 44361 Primary Status: Current - Active

Address :
25559 CARROL CT
LOMA LINDA CA 92354
SAN BERNARDINO COUNTY

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