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Licensing details for: 11949

Name: BADII LEE DENTAL CORPORATION, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

11351 183RD STREET
CERRITOS CA 90703
LOS ANGELES county
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Practice Location

11351 183RD STREET
CERRITOS CA 90703
LOS ANGELES county
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Issuance Date

July 9, 2015

Expiration Date

July 31, 2018

Current Date / Time

June 7, 2025
12:9:43 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: BADII, KIAVASH KEVIN

License/Registration Type: Dentist License

License Number: 54538 Primary Status: Current - Active

Address :
1424 S Euclid St
FULLERTON CA 92832-3152
ORANGE COUNTY

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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: LEE, DANIEL HARVEY

License/Registration Type: Dentist License

License Number: 56861 Primary Status: Current - Active

Address :
14252 Culver Dr
Suite 831
IRVINE CA 92604-0317
ORANGE COUNTY

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