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Licensing details for: 80408

Name: DIANA LEE DDS, INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

12530 10TH ST SUITE B
CHINO CA 91710
SAN BERNARDINO county
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Practice Location

12530 10TH ST SUITE B
CHINO CA 91710-3520
SAN BERNARDINO county
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Issuance Date

December 4, 2019

Expiration Date

May 31, 2021

Current Date / Time

June 6, 2025
2:20:19 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: CHOI, KYUNG DUK

License/Registration Type: Dentist License

License Number: 58345 Primary Status: Current - Active

Address :
1025 Sentinel Dr
STE 202A
LA VERNE CA 91750-3280
LOS ANGELES 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, DIANA C

License/Registration Type: Dentist License

License Number: 58342 Primary Status: Current - Active

Address :
12530 10th St
Suite B
CHINO CA 91710-3520
SAN BERNARDINO COUNTY

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