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Licensing details for: 80533

Name: LE DENTAL GROUP

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

26045 NEWPORT RD. #B
California
MENIFEE CA 92584
RIVERSIDE county
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Practice Location

26045 NEWPORT RD. #B
MENIFEE CA 92584
RIVERSIDE county
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Issuance Date

March 16, 2020

Expiration Date

January 31, 2025

Current Date / Time

June 6, 2025
8:38:59 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: LE, TRAM KIM

License/Registration Type: Dentist License

License Number: 54971 Primary Status: Current - Active

Address :
26045 Newport Rd
#B
MENIFEE CA 92584-7317
RIVERSIDE COUNTY

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