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Licensing details for: 81962

Name: JUSTIN WU, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

841 S DORA ST
UKIAH CA 95482
MENDOCINO county
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Practice Location

841 S DORA ST
UKIAH CA 95482
MENDOCINO county
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Issuance Date

November 5, 2024

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
3:35:44 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: WU, JUSTIN YING-CHIN

License/Registration Type: Dentist License

License Number: 101308 Primary Status: Current - Active

Address :
1144 Sonoma Ave
Suite 119
SANTA ROSA CA 95405-4812
SONOMA COUNTY

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