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Licensing details for: 8513

Name: KEUN CHAN LEE, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

12531 E CARSON ST
HAWAIIAN GARDENS CA 90716
LOS ANGELES county
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Issuance Date

May 3, 2005

Expiration Date

February 29, 2008

Current Date / Time

June 7, 2025
3:49:54 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, KEUN CHAN

License/Registration Type: Dentist License

License Number: 49928 Primary Status: Current - Active

Address :
8581 MONTICELLO AVE
BUENA PARK CA 90621
ORANGE COUNTY

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