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Licensing details for: 82009

Name: FREDERICK LEE, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

29273 CENTRAL AVE., SUITE A
LAKE ELSINORE CA 92532
RIVERSIDE county
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Practice Location

29273 CENTRAL AVE., SUITE A
LAKE ELSINORE CA 92532
RIVERSIDE county
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Issuance Date

December 30, 2024

Expiration Date

July 31, 2026

Current Date / Time

June 7, 2025
3:14:15 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, FREDERICK HYUN WOO

License/Registration Type: Dentist License

License Number: 43359 Primary Status: Current - Active

Address :
4000 W. FLORIDA AVE.
HEMET CA 92545
RIVERSIDE COUNTY

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