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Licensing details for: 82511

Name: GRACE MIN, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Greenhaven Modern Dentistry, Inc.

Address of Record

992 Florin Rd
SACRAMENTO CA 95831
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Issuance Date

November 21, 2025

Expiration Date

September 30, 2027

Current Date / Time

December 13, 2025
8:40:53 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: MIN, GRACE HYUNSUNG

License/Registration Type: Dentist License

License Number: 56845 Primary Status: Current - Active

Address :
8211 Bruceville Rd
Ste 155
SACRAMENTO CA 95823-2357
SACRAMENTO COUNTY

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