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Licensing details for: 7603

Name: SMILE DENTAL GROUP & ORTHODONTICS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2508 E PALMDALE
PALMDALE CA 93550
LOS ANGELES county
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Issuance Date

March 6, 2002

Expiration Date

July 31, 2002

Current Date / Time

June 6, 2025
2:14:43 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: SHIN, ANDREW WOOCHUL

License/Registration Type: Dentist License

License Number: 34213 Primary Status: Current - Active

Address :
14880 7TH ST #1
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY

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