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Licensing details for: 14391

Name: SWEET HOME PEDIATRIC DENTISTRY DENTAL PRACTICE OF HANNAH SONG

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

5661 BEACH BLVD STE 100
BUENA PARK CA 90621
ORANGE county
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Practice Location

5661 BEACH BLVD STE 100
BUENA PARK CA 90621
ORANGE county
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Issuance Date

August 9, 2018

Expiration Date

February 28, 2023

Current Date / Time

December 13, 2025
9:42:35 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: SONG, HANNAH JI YOUNG

License/Registration Type: Dentist License

License Number: 58464 Primary Status: Current - Active

Address :
7851 Commonwealth Ave
BUENA PARK CA 90621-2422
ORANGE COUNTY

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