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Licensing details for: 80114

Name: GUNDONG LEE, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

16106 BELLFLOWER BLVD
BELLFLOWER CA 90706
LOS ANGELES county
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Practice Location

16106 BELLFLOWER BLVD
BELLFLOWER CA 90706
LOS ANGELES county
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Issuance Date

June 19, 2019

Expiration Date

December 31, 2019

Current Date / Time

June 22, 2025
5:32:24 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: LEE, GUNDONG

License/Registration Type: Dentist License

License Number: 65092 Primary Status: Current - Active

Address :
1235 N HARBOR BLVD, STE 100
FULLERTON CA 92832
ORANGE COUNTY

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