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Licensing details for: 16017

Name: CL FAMILY DENTISTRY DENTAL OFFICE OF DRS. KYUNG DUK CHOI & DIANA LEE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

12530 10TH ST. SUITE B
CHINO CA 90710
LOS ANGELES county
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Practice Location

12530 10TH ST. SUITE B
CHINO CA 90710
LOS ANGELES county
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Issuance Date

September 22, 2020

Expiration Date

May 31, 2023

Current Date / Time

June 6, 2025
9:41:49 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHOI, KYUNG DUK

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEE, DIANA C

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: CHOI, KYUNG DUK

License/Registration Type: Dentist License

License Number: 58345 Primary Status: Current - Active

Address :
1025 Sentinel Dr
STE 202A
LA VERNE CA 91750-3280
LOS ANGELES COUNTY

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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, DIANA C

License/Registration Type: Dentist License

License Number: 58342 Primary Status: Current - Active

Address :
12530 10th St
Suite B
CHINO CA 91710-3520
SAN BERNARDINO COUNTY

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