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Licensing details for: 15621

Name: ELITE DENTAL GROUP YANG YANG YU, D.M.D., INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

23595 MOULTON PARKWAY, SUITE I
LAGUNA HILLS CA 92653
ORANGE county
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Practice Location

23595 MOULTON PARKWAY, SUITE I
LAGUNA HILLS CA 92653
ORANGE county
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Issuance Date

January 28, 2020

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
3:26:11 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YU, YANG-YANG

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: YU, YANG-YANG

License/Registration Type: Dentist License

License Number: 103715 Primary Status: Current - Active

Address :
23595 Moulton Pkwy
Suite I
LAGUNA HILLS CA 92653-1939
ORANGE COUNTY

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