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Licensing details for: 13082

Name: HOUSE DENTAL PRACTICE OF WONJOON LEE DDS INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

8617 CALIFORNIA AVENUE
SOUTH GATE CA 90280
LOS ANGELES county
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Practice Location

8617 CALIFORNIA AVENUE
SOUTH GATE CA 90280
LOS ANGELES county
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Issuance Date

September 19, 2016

Expiration Date

September 30, 2022

Current Date / Time

December 13, 2025
7:56:53 AM

License Relationships

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, WONJOON

License/Registration Type: Dentist License

License Number: 64812 Primary Status: Current - Active

Address :
9951 Artesia Pl
BELLFLOWER CA 90706-6757
LOS ANGELES COUNTY

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