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Licensing details for: 83095

Name: ANDREW WON, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

20115 Van Buren Blvd Suite 100
RIVERSIDE CA 92508
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Issuance Date

September 3, 2026

Expiration Date

January 31, 2028

Current Date / Time

September 8, 2026
10:13:20 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: WON, ANDREW JAY

License/Registration Type: Dentist License

License Number: 63150 Primary Status: Current - Active

Address :
8715 Trautwein Rd
Suite A
RIVERSIDE CA 92508-9474
RIVERSIDE COUNTY

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