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Licensing details for: 80999

Name: KIM & LEE, A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1686 W. KATELLA AVE
ANAHEIM CA 92802
ORANGE county
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Practice Location

1686 W. KATELLA AVE
ANAHEIM CA 92802
ORANGE county
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Issuance Date

July 19, 2021

Expiration Date

June 30, 2024

Current Date / Time

June 6, 2025
10:36:52 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, LINDA MEE-YOUNG

License/Registration Type: Dentist License

License Number: 101404 Primary Status: Current - Active

Address :
3760 W McFadden Ave
STE D
SANTA ANA CA 92704-1392
ORANGE 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: KIM, DAEUK DAVID

License/Registration Type: Dentist License

License Number: 102817 Primary Status: Current - Active

Address :
144 Waterfall Ln
BREA CA 92821-4348
ORANGE COUNTY

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