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Licensing details for: 79508

Name: THANH M LE DDS INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

601 W 17TH ST
SANTA ANA CA 92706
ORANGE county
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Practice Location

601 W 17TH ST
SANTA ANA CA 92706
ORANGE county
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Issuance Date

October 18, 2017

Expiration Date

October 30, 2018

Current Date / Time

December 13, 2025
9:47:31 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: LE, THANH MINH

License/Registration Type: Dentist License

License Number: 52882 Primary Status: Current - Active

Address :
12872 Harbor Blvd
GARDEN GROVE CA 92840-5807

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