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Licensing details for: 82915

Name: KUANYU LIN, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Lathrop Modern Dentistry, Prof. Corp.

Address of Record

16748 Golden Valley Parkway
LATHROP CA 95330
SAN JOAQUIN county
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Issuance Date

June 4, 2026

Expiration Date

November 30, 2026

Current Date / Time

June 5, 2026
11:07:36 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: LIN, KUANYU

License/Registration Type: Dentist License

License Number: 64558 Primary Status: Current - Active

Address :
16748 Golden Valley Pkwy
LATHROP CA 95330-7851

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