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Licensing details for: 14887

Name: DENTAL KIDZ CLUB, DENTAL OFFICE OF J CHUN DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1112 W 6TH ST STE 105
CORONA CA 92882
RIVERSIDE county
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Practice Location

1112 W 6TH ST STE 105
CORONA CA 92882
RIVERSIDE county
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Issuance Date

March 11, 2019

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
1:45:14 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHUN, JIHEE HEEJUNG

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: CHUN, JIHEE HEEJUNG

License/Registration Type: Dentist License

License Number: 52047 Primary Status: Current - Active

Address :
518 W Badillo St
COVINA CA 91722-3762
LOS ANGELES COUNTY

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