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Licensing details for: 10153

Name: FOOTHILL FAMILY DENTAL, DENTAL OFFICE OF LEE & CHOI DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1516 FOOTHILL BOULEVARD
LA VERNE CA 91750
LOS ANGELES county
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Practice Location

1516 FOOTHILL BOULEVARD
LA VERNE CA 91750
LOS ANGELES county
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Issuance Date

October 4, 2012

Expiration Date

May 31, 2019

Current Date / Time

June 7, 2025
8:36:48 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, DIANA C

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: LEE, DIANA C

License/Registration Type: Dentist License

License Number: 58342 Primary Status: Current - Active

Address :
12530 10th St
Suite B
CHINO CA 91710-3520
SAN BERNARDINO COUNTY

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