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Licensing details for: 82019

Name: FREDERICK LEE, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

18285 COLLIER AVE., SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE county
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Practice Location

18285 COLLIER AVE., SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE county
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Issuance Date

January 17, 2025

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
10:19:11 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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