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Licensing details for: 14783

Name: PR DENTAL CENTER DENTAL GROUP OF JUHEE PARK DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

7490 ORANGETHORPE AVE
BUENA PARK CA 90621
ORANGE county
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Practice Location

7490 ORANGETHORPE AVE
BUENA PARK CA 90621
ORANGE county
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Issuance Date

January 31, 2019

Expiration Date

January 31, 2020

Current Date / Time

June 6, 2025
2:10:39 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PARK, JUHEE

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: PARK, JUHEE

License/Registration Type: Dentist License

License Number: 100472 Primary Status: Current - Active

Address :
610 N Coast Hwy
LAGUNA BEACH CA 92651-1526
ORANGE COUNTY

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