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Licensing details for: 14812

Name: REAL DENTISTRY DENTAL GROUP OF GUNDONG LEE, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1235 N. HARBOR BLVD., STE 100
FULLERTON CA 92832
ORANGE county
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Practice Location

1235 N. HARBOR BLVD., STE 100
FULLERTON CA 92832
ORANGE county
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Issuance Date

February 12, 2019

Expiration Date

December 31, 2025

Current Date / Time

June 22, 2025
5:19:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, GUNDONG

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, GUNDONG

License/Registration Type: Dentist License

License Number: 65092 Primary Status: Current - Active

Address :
1235 N HARBOR BLVD, STE 100
FULLERTON CA 92832
ORANGE COUNTY

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