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Licensing details for: 82036

Name: KEVIN CHUNG, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

16411 BELLFLOWER BLVD. SUITE 103
BELLFLOWER CA 90706
LOS ANGELES county
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Practice Location

16411 BELLFLOWER BLVD. SUITE 103
BELLFLOWER CA 90706
LOS ANGELES county
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Issuance Date

January 23, 2025

Expiration Date

May 31, 2026

Current Date / Time

October 30, 2025
1:44:38 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: CHUNG, KEVIN WON-JUN

License/Registration Type: Dentist License

License Number: 102943 Primary Status: Current - Active

Address :
5533 E Stearns St
Suite A
LONG BEACH CA 90815-3125
LOS ANGELES COUNTY

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